MAYBEN COLE JOHNSON
Idaho DPHY-0278 Canceled
This Idaho license was held by MAYBEN COLE JOHNSON. The license is no longer active. It was granted on 07/02/2014 and expired on 02/01/2016
LICENSE DETAILS
- License Number: DPHY-0278
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/02/2014 (almost 10 years ago)
- Expiry Date: 02/01/2016 (about 8 years ago)
LOCATIONS
A Residential
526 Shoup Ave W Ste D TWIN FALLS ID 83301