ANSEL T JOHNSON - Optometrist License in Illinois | # 047930877

ANSEL T JOHNSON

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930877

License Status

NOT RENEWED

Business

N

First Name

ANSEL T

Last Name

JOHNSON

Business Name

ANSEL T JOHNSON

Original Issue Date

01/28/2005

Effective Date

01/28/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006