Idaho
Division of Occupational and Professional Licenses
KENNETH ROBERT JOHNSON JR.
Board Of Medicine
License number
LRT-1939
Date granted
04/13/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1234 WEST SUMMIT PARKWAY APT 18 SPOKANE WA 99201
idaholicensing.com
ID 48352821
LAST UPDATED 2024-03-22 00:59:23 UTC
LAST UPDATED 2024-03-22 00:59:23 UTC
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