ANSEL T JOHNSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927018

License Status

NOT RENEWED

Business

First Name

ANSEL T

Last Name

JOHNSON

Business Name

ANSEL T JOHNSON

Original Issue Date

05/01/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005