License holder summary

KIMBERLY MAE JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for KIMBERLY MAE JOHNSON is PO BOX 4730 POCATELLO ID 83205. This licensed professional license is not current. The license was granted 07/12/2005 and expired on 10/31/2005.

Idaho

Division of Occupational and Professional Licenses

KIMBERLY MAE JOHNSON
Board Of Medicine
License number
MRM-0850
Date granted
07/12/2005
Date expires
10/31/2005
Class
Board Of Medicine
Status
Expired
Address
PO BOX 4730 POCATELLO ID 83205
idaholicensing.com
ID 48352825
LAST UPDATED 2024-04-29 20:52:25 UTC

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