License holder summary

SIMONNE CHANTAL JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for SIMONNE CHANTAL JOHNSON is 38104 183RD AVE SE AUBURN WA 98092. This licensed professional license is not current. The license was granted 11/01/2005 and expired on 08/01/2008.

Idaho

Division of Occupational and Professional Licenses

SIMONNE CHANTAL JOHNSON
Board Of Medicine
License number
AT-272
Date granted
11/01/2005
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
38104 183RD AVE SE AUBURN WA 98092
idaholicensing.com
ID 48352889
LAST UPDATED 2024-04-25 00:18:02 UTC

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