Idaho
Division of Occupational and Professional Licenses
MAYBEN COLE JOHNSON
Board Of Medicine
License number
DPHY-0278
Date granted
07/02/2014
Date expires
02/01/2016
Class
Board Of Medicine
Status
Canceled
Address
526 Shoup Ave W Ste D TWIN FALLS ID 83301
idaholicensing.com
ID 48352852
LAST UPDATED 2024-04-21 10:37:15 UTC
LAST UPDATED 2024-04-21 10:37:15 UTC
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