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 2024-04-03 21:13:25 UTC
LAST UPDATED 2024-04-03 21:13:25 UTC
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