MICHAEL T JOHNSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

JOHNSON

Business Name

MICHAEL T JOHNSON

Original Issue Date

06/30/2010

Effective Date

06/30/2010

Expiration Date

03/31/2012

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012