MIERS CORNELIUS JOHNSON III

Idaho  SPHY-5750   Renewed

This Idaho license is held by MIERS CORNELIUS JOHNSON III. The license is currently active. It was granted on 09/17/1990 and expired on 12/31/2016

LICENSE DETAILS

  • License Number: SPHY-5750
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 09/17/1990 (over 33 years ago)
  • Expiry Date: 12/31/2016 (over 7 years ago)

LOCATIONS

A Residential

4424 E. Flamingo Ave. Nampa ID 83687