JOB L SANDOVAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074489

License Status

INACTIVE

Business

First Name

JOB L

Last Name

SANDOVAL

Suffix

Business Name

JOB L SANDOVAL MD

Original Issue Date

02/16/1987

Effective Date

02/16/1987

Expiration Date

07/31/1987

City

CHARLESTOWN

State

Zip

02813

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006