License holder summary

SHANE REED JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANE REED JOHNSON is VETERANS AFFAIRS MEDICAL CENTER BOISE ID 83702. This licensed professional license is current. The license was granted 04/04/2000 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

SHANE REED JOHNSON
Board Of Medicine
License number
PA-293
Date granted
04/04/2000
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
VETERANS AFFAIRS MEDICAL CENTER BOISE ID 83702
idaholicensing.com
ID 48352886
LAST UPDATED 2024-02-28 12:24:18 UTC

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