EDMUNDO D SANDOVAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073612

License Status

NOT RENEWED

Business

First Name

EDMUNDO

Middle

Last Name

SANDOVAL

Suffix

Business Name

EDMUNDO D SANDOVAL MD

Original Issue Date

08/26/1986

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

01/14/2021