Idaho
Division of Occupational and Professional Licenses
SOPHEA ROS JOHANSEN
Board Of Medicine
License number
PA-972
Date granted
04/18/2012
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
7710 HAZARD CENTER DR STE E SAN DIEGO CA 92108
idaholicensing.com
ID 48355672
LAST UPDATED 2024-04-28 10:43:56 UTC
LAST UPDATED 2024-04-28 10:43:56 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.