DAVID ALLAN JOHNSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****03

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLAN

Last Name

JOHNSON

Suffix

Business Name

DAVID ALLAN JOHNSON OD

Original Issue Date

12/16/1997

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

SCHAUMBURG

State

Zip

60193

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006