MARK DAVID JOHNSON OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010751

License Status

INACTIVE

Business

Title

First Name

MARK

Middle

DAVID

Last Name

JOHNSON

Business Name

MARK DAVID JOHNSON OD

Original Issue Date

10/25/2013

Effective Date

03/04/2022

Expiration Date

03/31/2024

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/28/2024