License holder summary

Dr. SHAE HAL JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. SHAE HAL JOHNSON is 6533 Emerald Street Boise ID 83704. This licensed professional license is current. The license was granted 05/28/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. SHAE HAL JOHNSON
Board Of Medicine
License number
O-0870
Date granted
05/28/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6533 Emerald Street Boise ID 83704
idaholicensing.com
ID 48352885
LAST UPDATED 2024-03-25 17:15:45 UTC

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