Idaho
Division of Occupational and Professional Licenses
SOPHIA NYSWYN
Board Of Medicine
License number
PA-941
Date granted
01/19/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1740 W.Whiff Drive Eagle ID 83616
idaholicensing.com
ID 48360900
LAST UPDATED 2024-03-02 20:00:32 UTC
LAST UPDATED 2024-03-02 20:00:32 UTC
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