RALPH B JOHANSON Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004730

License Status

INACTIVE

Business

First Name

RALPH B

Last Name

JOHANSON

Business Name

RALPH B JOHANSON

Expiration Date

03/31/1990

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

08/31/2005