License holder summary

BLAKE GAMMELL JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for BLAKE GAMMELL JOHNSON is 738 N COLLEGE RD #A TWIN FALLS ID 83301. This licensed professional license is current. The license was granted 07/28/1997 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

BLAKE GAMMELL JOHNSON
Board Of Medicine
License number
M-7285
Date granted
07/28/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
738 N COLLEGE RD #A TWIN FALLS ID 83301
idaholicensing.com
ID 48352723
LAST UPDATED 2024-04-06 06:26:10 UTC

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