DALLIN JAY JOHANSEN

Idaho  MSO-0198   Licensed

This Idaho license is held by DALLIN JAY JOHANSEN. The license is currently active. It was granted on 05/13/2016 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: MSO-0198
  • Category: Board Of Medicine
  • Status: Licensed
  • Date Granted: 05/13/2016 (almost 9 years ago)
  • Expiry Date: 06/30/2017 (almost 8 years ago)

LOCATIONS

A Residential

124 S 41ST STAPT #2 YAKIMA WA 98901