JEFFREY R HENLINE OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****96

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

HENLINE

Suffix

Business Name

JEFFREY R HENLINE OD

Original Issue Date

04/08/1996

Effective Date

03/27/2024

Expiration Date

03/31/2026

City

BLOOMINGTON

State

Zip

61704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026