License holder summary

JOHANNA MARIE JENSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for JOHANNA MARIE JENSEN is 1615 12th Ave S NAMPA ID 83686. This licensed professional license is current. The license was granted 03/31/2004 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JOHANNA MARIE JENSEN
Board Of Medicine
License number
M-9011
Date granted
03/31/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1615 12th Ave S NAMPA ID 83686
idaholicensing.com
ID 48355590
LAST UPDATED 2024-04-14 05:04:41 UTC

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