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
LAST UPDATED 2024-04-29 20:52:25 UTC
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