License holder summary

JACK STODDARD JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for JACK STODDARD JOHNSON is 13 N 2nd E Tremonton UT 84337. This licensed professional license is not current. The license was granted 01/09/1971.

Idaho

Division of Occupational and Professional Licenses

JACK STODDARD JOHNSON
Board Of Medicine
License number
M-2956
Date granted
01/09/1971
Class
Board Of Medicine
Status
Deceased
Address
13 N 2nd E Tremonton UT 84337
idaholicensing.com
ID 48352787
LAST UPDATED 2024-05-05 22:26:33 UTC

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