JEFFREY ALAN JOHNSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047207318

License Status

NOT RENEWED

Business

First Name

JEFFREY ALAN

Last Name

JOHNSON

Business Name

JEFFREY ALAN JOHNSON

Original Issue Date

11/21/1990

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005