License holder summary

MICHEAL BRENT JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHEAL BRENT JOHNSON is 1620 Northwest Blvd., #202 Coeur D Alene ID 83814. This licensed professional license is current. The license was granted 05/12/2006 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

MICHEAL BRENT JOHNSON
Board Of Medicine
License number
O-0402
Date granted
05/12/2006
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1620 Northwest Blvd., #202 Coeur D Alene ID 83814
idaholicensing.com
ID 48352855
LAST UPDATED 2024-03-31 18:12:45 UTC

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