DOUGLAS WILLIAM JOHNSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047207103

License Status

NOT RENEWED

Business

First Name

DOUGLAS WILLIAM

Last Name

JOHNSON

Business Name

DOUGLAS WILLIAM JOHNSON

Original Issue Date

08/14/1991

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

09/11/2005