Idaho
Division of Occupational and Professional Licenses
KATRINA ANN JOHNSON
Board Of Medicine
License number
PA-805
Date granted
08/18/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
600 N. Robbins. Rd. Ste.401 BOISE ID 83702
idaholicensing.com
ID 48352815
LAST UPDATED 2024-03-19 23:32:07 UTC
LAST UPDATED 2024-03-19 23:32:07 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.