Idaho
Division of Occupational and Professional Licenses
LEONARD WAYNE JOHNSON
Board Of Medicine
License number
M-5813
Date granted
05/04/1991
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
2250 Joy Road Occidental CA 95465
idaholicensing.com
ID 48352832
LAST UPDATED 2024-04-01 00:42:15 UTC
LAST UPDATED 2024-04-01 00:42:15 UTC
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