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 2026-03-17 10:34:54 UTC
LAST UPDATED 2026-03-17 10:34:54 UTC
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