DONALD R JOHNSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047205510

License Status

NOT RENEWED

Business

First Name

DONALD R

Last Name

JOHNSON

Business Name

DONALD R JOHNSON

Original Issue Date

04/17/1987

Expiration Date

03/31/1988

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/01/2005