EPIFANIO G SANDOVAL JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061867

License Status

INACTIVE

Business

First Name

EPIFANIO G

Last Name

SANDOVAL JR

Suffix

Business Name

EPIFANIO G SANDOVAL JR MD

Original Issue Date

03/20/1981

Effective Date

03/20/1981

Expiration Date

07/31/2005

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006