Michael Wayne Johnson
ExpiredCalifornia license 12866
License
- Licensed by
- California State Board of Optometry
- License number
- 12866
- Status
- Expired (Delinquent)
- First issued
- January 14, 2019
- Expired
- September 30, 2023
- License holder
- Michael Wayne Johnson
- Entity type
- Individual
Classifications
- Statement of Licensure Vision & Hearing
More from the license record
- License type code
- 4203
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Contact
100 S Harding Blvd
1
Roseville, CA 95678-3360
1
Roseville, CA 95678-3360