License holder summary

SOPHIA NYSWYN is a Board Of Medicine licensed to practice in Idaho. The address on file for SOPHIA NYSWYN is 1740 W.Whiff Drive Eagle ID 83616. This licensed professional license is current. The license was granted 01/19/2012 and expired on 06/30/2018.

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

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