License holder summary

Dr. JOHNNY BERT GREEN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JOHNNY BERT GREEN is Saint Alphonsus Medical Group Mulvaney General Sur Boise ID 83704. This licensed professional license is current. The license was granted 12/30/2010 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. JOHNNY BERT GREEN
Board Of Medicine
License number
M-11186
Date granted
12/30/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Saint Alphonsus Medical Group Mulvaney General Sur Boise ID 83704
idaholicensing.com
ID 48347031
LAST UPDATED 2024-04-05 04:29:44 UTC

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