EPIFANIO G SANDOVAL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

EPIFANIO G

Last Name

SANDOVAL JR

Suffix

Business Name

EPIFANIO G SANDOVAL JR MD

Original Issue Date

09/10/1981

Effective Date

09/10/1981

Expiration Date

07/31/1993

City

EAST CHICAGO

State

Zip

46312

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006