License holder summary

KENNETH D. JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for KENNETH D. JOHNSON is 6515 Mimms Dallas TX 75252. This licensed professional license is not current. The license was granted 11/04/1978 and expired on 07/01/1974.

Idaho

Division of Occupational and Professional Licenses

KENNETH D. JOHNSON
Board Of Medicine
License number
M-3880
Date granted
11/04/1978
Date expires
07/01/1974
Class
Board Of Medicine
Status
Canceled
Address
6515 Mimms Dallas TX 75252
idaholicensing.com
ID 48352819
LAST UPDATED 2024-01-22 05:08:22 UTC

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