License holder summary

BRANDI MICHELLE JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for BRANDI MICHELLE JOHNSON is 4282 S VARIAN AVE BOISE ID 83709. This licensed professional license is current. The license was granted 07/30/1999 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

BRANDI MICHELLE JOHNSON
Board Of Medicine
License number
LRT-780
Date granted
07/30/1999
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
4282 S VARIAN AVE BOISE ID 83709
idaholicensing.com
ID 48352727
LAST UPDATED 2024-03-05 13:36:33 UTC

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