Idaho
Division of Occupational and Professional Licenses
JULIE ANNE JOHNSON
Board Of Medicine
License number
LRT-1924
Date granted
01/14/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
130 HAVEN LN IDAHO FALLS ID 83404
idaholicensing.com
ID 48352804
LAST UPDATED 2026-05-24 08:45:39 UTC
LAST UPDATED 2026-05-24 08:45:39 UTC
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