DONALD R JOHNSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047105510

License Status

NOT RENEWED

Business

First Name

DONALD R

Last Name

JOHNSON

Business Name

DONALD R JOHNSON

Original Issue Date

10/28/1982

Expiration Date

03/31/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005