License holder summary

REGINA JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for REGINA JOHNSON is 10603 N Hayden Rd Scottsdale AZ 85260. This licensed professional license is not current. The license was granted 08/13/1996 and expired on 06/30/2003.

Idaho

Division of Occupational and Professional Licenses

REGINA JOHNSON
Board Of Medicine
License number
M-7061
Date granted
08/13/1996
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
10603 N Hayden Rd Scottsdale AZ 85260
idaholicensing.com
ID 48352871
LAST UPDATED 2024-03-26 13:56:52 UTC

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