TROY WILLIAM JOHNSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****81

License Status

NOT RENEWED

Business

First Name

TROY

Middle

WILLIAM

Last Name

JOHNSON

Suffix

Business Name

TROY WILLIAM JOHNSON OD

Original Issue Date

12/10/2010

Effective Date

03/15/2022

Expiration Date

03/31/2024

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025