SHANE REED JOHNSON

Idaho  PAI-293   Active

This Idaho license is held by SHANE REED JOHNSON. The license is currently active. It was granted on 04/04/2000

LICENSE DETAILS

  • License Number: PAI-293
  • Category: Board Of Medicine
  • Status: Active
  • Date Granted: 04/04/2000 (about 24 years ago)

LOCATIONS

A Residential

VETERANS AFFAIRS MEDICAL CENTER BOISE ID 83702