Idaho
Division of Occupational and Professional Licenses
Dr. MAX RAY JOHNSON
Board Of Medicine
License number
M-13483
Date granted
10/13/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
2829 SOUTH UNIVERSITY DRIVE #204 FARGO ND 58103
idaholicensing.com
ID 48352851
LAST UPDATED 2024-04-08 11:42:24 UTC
LAST UPDATED 2024-04-08 11:42:24 UTC
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