License holder summary

F. TAYLOR JOHANSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for F. TAYLOR JOHANSEN is BLACKFOOT MED CTR BLACKFOOT ID 83221. This licensed professional license is current. The license was granted 08/18/2006 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

F. TAYLOR JOHANSEN
Board Of Medicine
License number
O-0413
Date granted
08/18/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
BLACKFOOT MED CTR BLACKFOOT ID 83221
idaholicensing.com
ID 48355668
LAST UPDATED 2024-02-06 09:54:12 UTC

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