License holder summary

JOHNSON , IDELLA SMITH is a Department Of Health - Physician Assistant licensed to practice in Tennessee. This medical licensee license is current. The license was granted 05/28/1998 and expired on 01/31/2017.

Department of Health

Board of Medical Examiners

JOHNSON , IDELLA SMITH
Department Of Health - Physician Assistant
License number
670
Date granted
05/28/1998
Date expires
01/31/2017
Class
Department Of Health - Physician Assistant
Status
Licensed
Address
medicaltn.com
ID 42337257
LAST UPDATED 2026-04-04 22:34:08 UTC

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