License holder summary

KEVIN MICHAEL JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for KEVIN MICHAEL JOHNSON is 608 NORTHWEST BLVD SUITE 301 COEUR D ALENE ID 83814. This licensed professional license is current. The license was granted 04/13/2000 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

KEVIN MICHAEL JOHNSON
Board Of Medicine
License number
M-7963
Date granted
04/13/2000
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
608 NORTHWEST BLVD SUITE 301 COEUR D ALENE ID 83814
idaholicensing.com
ID 48352822
LAST UPDATED 2024-03-03 13:08:30 UTC

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