DAVID ALLAN JOHNSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****62

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLAN

Last Name

JOHNSON

Suffix

Business Name

DAVID ALLAN JOHNSON OD

Original Issue Date

05/14/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006