Idaho
Division of Occupational and Professional Licenses
KASANDRA LOY JOHNSON
Board Of Medicine
License number
LRT-208
Date granted
12/31/1991
Date expires
07/02/2000
Class
Board Of Medicine
Status
Canceled
Address
15074 Karcher Rd Caldwell ID 83607
idaholicensing.com
ID 48352812
LAST UPDATED 2024-02-18 19:57:51 UTC
LAST UPDATED 2024-02-18 19:57:51 UTC
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