Idaho
Division of Occupational and Professional Licenses
CLARK JOHNSON
Board Of Medicine
License number
MSO-0022
Date granted
04/30/2012
Date expires
04/30/2013
Class
Board Of Medicine
Status
Expired
Address
777 N RAYMOND STREET BOISE ID 83704
idaholicensing.com
ID 48352750
LAST UPDATED 2024-02-16 08:21:57 UTC
LAST UPDATED 2024-02-16 08:21:57 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.