Idaho
Division of Occupational and Professional Licenses
JAY CARTER JOHNSON
Board Of Medicine
License number
M-9103
Date granted
08/10/2004
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
4302 S Havana St Spokane WA 99223
idaholicensing.com
ID 48352794
LAST UPDATED 2024-03-28 11:47:51 UTC
LAST UPDATED 2024-03-28 11:47:51 UTC
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