THOMAS J JOHNSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****35

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

JOHNSON

Suffix

Business Name

THOMAS J JOHNSON OD

Original Issue Date

01/15/1997

Effective Date

03/17/2020

Expiration Date

05/31/2022

City

ALTON

State

Zip

62002

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022