RANDY RAY JOHNSON - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 212000190

RANDY RAY JOHNSON

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000190

License Status

NOT RENEWED

Business

N

First Name

RANDY

Middle

RAY

Last Name

JOHNSON

Business Name

RANDY RAY JOHNSON

Original Issue Date

04/29/2013

Effective Date

08/27/2013

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2015