Idaho
Division of Occupational and Professional Licenses
LORI LYNN JOHNSON
Board Of Medicine
License number
D-438
Date granted
01/06/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
239 North 200 West RUPERT ID 83350
idaholicensing.com
ID 48352836
LAST UPDATED 2024-04-05 02:21:44 UTC
LAST UPDATED 2024-04-05 02:21:44 UTC
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