Idaho
Division of Occupational and Professional Licenses
TRACY RENEE JOHNSON
Board Of Medicine
License number
M-8034
Date granted
07/14/2000
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
7703 FLOYD CURL DR SAN ANTONIO TX 78229
idaholicensing.com
ID 48352903
LAST UPDATED 2024-04-20 10:41:09 UTC
LAST UPDATED 2024-04-20 10:41:09 UTC
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