RANDY RAY JOHNSON Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000190

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

RAY

Last Name

JOHNSON

Business Name

RANDY RAY JOHNSON

Original Issue Date

04/29/2013

Effective Date

08/27/2013

Expiration Date

09/30/2015

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

11/03/2015