TROY WILLIAM JOHNSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933902

License Status

CANCELLED

Business

First Name

TROY

Middle

WILLIAM

Last Name

JOHNSON

Suffix

Business Name

TROY WILLIAM JOHNSON OD

Original Issue Date

03/20/2008

Effective Date

03/20/2008

Expiration Date

03/31/2010

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010