DAVID ALLAN JOHNSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLAN

Last Name

JOHNSON

Suffix

Business Name

DAVID ALLAN JOHNSON OD

Original Issue Date

12/18/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

MUNDELEIN

State

Zip

60060

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006