License holder summary

BRETT BINGHAM JOHANSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for BRETT BINGHAM JOHANSEN is 2453 S HAPPY VALLEY ST NAMPA ID 83687. This licensed professional license is current. The license was granted 10/05/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

BRETT BINGHAM JOHANSEN
Board Of Medicine
License number
PA-1308
Date granted
10/05/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
2453 S HAPPY VALLEY ST NAMPA ID 83687
idaholicensing.com
ID 48355666
LAST UPDATED 2024-04-19 20:54:55 UTC

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