License holder summary

KAYLEE LYN SELF JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for KAYLEE LYN SELF JOHNSON is 2814 BISBEE ST KLAMATH FALLS OR 97603. This licensed professional license is current. The license was granted 05/15/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KAYLEE LYN SELF JOHNSON
Board Of Medicine
License number
LRT-1871
Date granted
05/15/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2814 BISBEE ST KLAMATH FALLS OR 97603
idaholicensing.com
ID 48352817
LAST UPDATED 2024-04-26 08:54:07 UTC

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