TROY WILLIAM JOHNSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****21

License Status

NOT RENEWED

Business

First Name

TROY

Middle

WILLIAM

Last Name

JOHNSON

Suffix

Business Name

TROY WILLIAM JOHNSON OD

Original Issue Date

06/30/2005

Effective Date

02/26/2010

Expiration Date

03/31/2012

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012