SUN AE MA OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****91

License Status

ACTIVE

Business

Title

First Name

SUN

Middle

Last Name

Business Name

SUN AE MA OD

Original Issue Date

05/07/1996

Effective Date

03/23/2026

Expiration Date

03/31/2028

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/23/2026