Idaho
Division of Occupational and Professional Licenses
LOWELL A. JOHNSON
Board Of Medicine
License number
M-2314
Date granted
01/09/1956
Date expires
06/30/1988
Class
Board Of Medicine
Status
Canceled
Address
245 Terracina Blvd. #209C Redlands CA 92373
idaholicensing.com
ID 48352837
LAST UPDATED 2024-04-04 09:37:22 UTC
LAST UPDATED 2024-04-04 09:37:22 UTC
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