DOUGLAS WILLIAM JOHNSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307103

License Status

NOT RENEWED

Business

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

City

GREENVILLE

State

Zip

62246

County

BOND

Ever Disciplined

LastModifiedDate

09/11/2005