License holder summary

DR. JACQUELINE MARIE JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. JACQUELINE MARIE JOHNSON is 931 HINKLE CREED RD SUTHERLIN OR 97479. This licensed professional license is not current. The license was granted 05/02/2008 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

DR. JACQUELINE MARIE JOHNSON
Board Of Medicine
License number
O-0482
Date granted
05/02/2008
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
931 HINKLE CREED RD SUTHERLIN OR 97479
idaholicensing.com
ID 48352788
LAST UPDATED 2024-02-08 04:11:09 UTC

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