Idaho
Division of Occupational and Professional Licenses
Dr. MARK ALEXANDER JOHNSON
Board Of Medicine
License number
O-0583
Date granted
08/09/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1130 EAST FAIRVIEW AVENUE MERIDIAN ID 83642
idaholicensing.com
ID 48352842
LAST UPDATED 2024-03-16 09:00:56 UTC
LAST UPDATED 2024-03-16 09:00:56 UTC
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