Idaho
Division of Occupational and Professional Licenses
MARK B. JOHNSON
Board Of Medicine
License number
M-4537
Date granted
08/05/1982
Date expires
07/27/1984
Class
Board Of Medicine
Status
Canceled
Address
PO Box 249 Saint Ansgar IA 50472
idaholicensing.com
ID 48352844
LAST UPDATED 2024-04-28 14:45:55 UTC
LAST UPDATED 2024-04-28 14:45:55 UTC
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