JENNIFER LYNN JOHNSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****54

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

LYNN

Last Name

JOHNSON

Business Name

JENNIFER LYNN JOHNSON OD

Original Issue Date

08/06/2010

Effective Date

03/21/2014

Expiration Date

03/31/2016

City

MOKENA

State

Zip

60448

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016