DAVID ALLAN JOHNSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928125

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLAN

Last Name

JOHNSON

Suffix

Business Name

DAVID ALLAN JOHNSON OD

Original Issue Date

09/04/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005