MAYBEN COLE JOHNSON

Idaho  SPHY-0278   Renewed

This Idaho license is held by MAYBEN COLE JOHNSON. The license is currently active. It was granted on 11/19/2010 and expired on 12/31/2016

LICENSE DETAILS

  • License Number: SPHY-0278
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 11/19/2010 (over 13 years ago)
  • Expiry Date: 12/31/2016 (over 7 years ago)

LOCATIONS

A Residential

526 Shoup Ave W Ste D TWIN FALLS ID 83301