License holder summary

LISA JOSEPHINE JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for LISA JOSEPHINE JOHNSON is 302 W WINTERBERRY LOOP Hailey ID 83333. This licensed professional license is current. The license was granted 06/27/1995 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

LISA JOSEPHINE JOHNSON
Board Of Medicine
License number
D-222
Date granted
06/27/1995
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
302 W WINTERBERRY LOOP Hailey ID 83333
idaholicensing.com
ID 48352834
LAST UPDATED 2024-04-09 16:39:07 UTC

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