Idaho
Division of Occupational and Professional Licenses
K.A. CRISMON
Board Of Medicine
License number
M-0673
Date granted
10/04/1912
Date expires
10/04/1912
Class
Board Of Medicine
Status
Canceled
Address
Rexburg
idaholicensing.com
ID 48344325
LAST UPDATED 2026-03-10 12:13:28 UTC
LAST UPDATED 2026-03-10 12:13:28 UTC
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