Idaho
Division of Occupational and Professional Licenses
Dr. JARED STEPHEN JOHNSON
Board Of Medicine
License number
DPHY-12474
Date granted
09/17/2014
Date expires
12/31/2016
Class
Board Of Medicine
Status
Renewed
Address
520 S EAGLE RD SUITE 3213 MERIDIAN ID 83642
idaholicensing.com
ID 48352791
LAST UPDATED 2024-04-02 13:51:26 UTC
LAST UPDATED 2024-04-02 13:51:26 UTC
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