THOMAS J JOHNSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934333

License Status

CANCELLED

Business

First Name

THOMAS J

Last Name

JOHNSON

Suffix

Business Name

THOMAS J JOHNSON OD

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

03/31/2010

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/04/2010