License holder summary

JAY CARTER JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for JAY CARTER JOHNSON is 4302 S Havana St Spokane WA 99223. This licensed professional license is not current. The license was granted 08/10/2004 and expired on 06/30/2006.

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

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