License holder summary

WALLACE JOHNSON is a Board Of Medicine licensed to practice in Idaho. The address on file for WALLACE JOHNSON is GEN DEL Nampa. This licensed professional license is not current. The license was granted 04/05/1904 and expired on 04/05/1904.

Idaho

Division of Occupational and Professional Licenses

WALLACE JOHNSON
Board Of Medicine
License number
M-0297
Date granted
04/05/1904
Date expires
04/05/1904
Class
Board Of Medicine
Status
Deceased
Address
GEN DEL Nampa
idaholicensing.com
ID 48352910
LAST UPDATED 2024-02-24 14:17:03 UTC

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