MARK DAVID JOHNSON OD Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****06

License Status

INOPERATIVE

Business

Title

First Name

MARK

Middle

DAVID

Last Name

JOHNSON

Business Name

MARK DAVID JOHNSON OD

Original Issue Date

10/28/2013

Effective Date

02/28/2024

Expiration Date

03/31/2026

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/28/2024