ANSEL T JOHNSON - Optometrist License in Illinois | # 047929709

ANSEL T JOHNSON

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929709

License Status

NOT RENEWED

Business

N

First Name

ANSEL T

Last Name

JOHNSON

Business Name

ANSEL T JOHNSON

Original Issue Date

09/23/2003

Effective Date

03/25/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006