RANDALL R RICKETTS Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****96

License Status

ACTIVE

Business

First Name

RANDALL R

Last Name

RICKETTS

Business Name

RANDALL R RICKETTS

Original Issue Date

10/28/1999

Effective Date

03/21/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60614

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/08/2026