DOUGLAS WILLIAM JOHNSON - Optometrist License in Illinois | # 047307103

DOUGLAS WILLIAM JOHNSON

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307103

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS WILLIAM

Last Name

JOHNSON

Business Name

DOUGLAS WILLIAM JOHNSON

Original Issue Date

09/03/1991

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005