License holder summary

LISA KRISTINA JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for LISA KRISTINA JOHNSON is 6531 SW CAPITOL HWY PORTLAND OR 97201. This licensed professional license is not current. The license was granted 05/01/2002.

Idaho

Division of Occupational and Professional Licenses

LISA KRISTINA JOHNSON
Board Of Medicine
License number
MRM-707
Date granted
05/01/2002
Class
Board Of Medicine
Status
Canceled
Address
6531 SW CAPITOL HWY PORTLAND OR 97201
idaholicensing.com
ID 48352835
LAST UPDATED 2026-07-22 05:30:42 UTC

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