DOUGLAS WILLIAM JOHNSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007103

License Status

NOT RENEWED

Business

First Name

DOUGLAS WILLIAM

Last Name

JOHNSON

Business Name

DOUGLAS WILLIAM JOHNSON

Original Issue Date

11/17/1978

Expiration Date

03/31/1984

City

PANA

State

Zip

62557

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

09/01/2005