JAMIE NICOLE JOHNSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****42

License Status

NOT RENEWED

Business

Title

First Name

JAMIE

Middle

NICOLE

Last Name

JOHNSON

Business Name

JAMIE NICOLE JOHNSON OD

Original Issue Date

07/26/2010

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021