MICHAEL T JOHNSON Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010372

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

JOHNSON

Business Name

MICHAEL T JOHNSON

Original Issue Date

06/30/2010

Effective Date

06/30/2010

Expiration Date

03/31/2012

City

WEST BEND

State

Zip

53090

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/12/2012