License holder summary

ALYSSA MAE JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for ALYSSA MAE JOHNSON is 302 W TOWNLEY AVE PHOENIX AZ 85021. This licensed professional license is not current. The license was granted 11/17/2014 and expired on 03/24/2015.

Idaho

Division of Occupational and Professional Licenses

ALYSSA MAE JOHNSON
Board Of Medicine
License number
PAT-1264
Date granted
11/17/2014
Date expires
03/24/2015
Class
Board Of Medicine
Status
Expired
Address
302 W TOWNLEY AVE PHOENIX AZ 85021
idaholicensing.com
ID 48352713
LAST UPDATED 2026-03-24 06:54:07 UTC

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