JOB L SANDOVAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

JOB L

Last Name

SANDOVAL

Suffix

Business Name

JOB L SANDOVAL MD

Original Issue Date

03/06/1987

Effective Date

03/06/1987

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63112

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006