ANGELA FAY JOHNSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010376

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

FAY

Last Name

JOHNSON

Business Name

ANGELA FAY JOHNSON

Original Issue Date

06/30/2010

Effective Date

03/01/2016

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018