DAVID ALLAN JOHNSON OD - Optometrist License in Illinois | # 047930750

DAVID ALLAN JOHNSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930750

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

ALLAN

Last Name

JOHNSON

Suffix

OD

Business Name

DAVID ALLAN JOHNSON OD

Original Issue Date

11/30/2004

Effective Date

11/30/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006