Idaho
Division of Occupational and Professional Licenses
SOPHIE SHAWN CRISMORE
Board Of Medicine
License number
PSG-070
Date granted
04/26/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
265 LOWER LYNCH CR RD PLAINS MT 59859
idaholicensing.com
ID 48344329
LAST UPDATED 2026-05-18 22:00:31 UTC
LAST UPDATED 2026-05-18 22:00:31 UTC
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