License holder summary

MAKENNA LYN JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for MAKENNA LYN JOHNSON is 11073 W Tahiti Ct Boise ID 83713. This licensed professional license is current. The license was granted 02/12/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MAKENNA LYN JOHNSON
Board Of Medicine
License number
D-909
Date granted
02/12/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
11073 W Tahiti Ct Boise ID 83713
idaholicensing.com
ID 48352840
LAST UPDATED 2024-03-26 04:49:44 UTC

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