License holder summary

MATTHEW MARK JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for MATTHEW MARK JOHNSON is 442 N. Kensington LA GRANGE PARK IL 60526. This licensed professional license is not current. The license was granted 04/25/2003 and expired on 06/30/2013.

Idaho

Division of Occupational and Professional Licenses

MATTHEW MARK JOHNSON
Board Of Medicine
License number
AT-214
Date granted
04/25/2003
Date expires
06/30/2013
Class
Board Of Medicine
Status
Canceled
Address
442 N. Kensington LA GRANGE PARK IL 60526
idaholicensing.com
ID 48352850
LAST UPDATED 2024-02-27 06:45:47 UTC

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