TYLER LEE DOERSAM Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****94

License Status

ACTIVE

Business

First Name

TYLER

Middle

LEE

Last Name

DOERSAM

Business Name

TYLER LEE DOERSAM

Original Issue Date

05/12/2021

Effective Date

03/21/2024

Expiration Date

03/31/2026

City

CRYSTAL LAKE

State

Zip

60014

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026