License holder summary

Dr. BRIAN P SANDOVAL is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. BRIAN P SANDOVAL is 1800 Fortino Blvd. Pueblo CO 81008. This licensed professional license is current. The license was granted 03/22/2011 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. BRIAN P SANDOVAL
Board Of Medicine
License number
M-11247
Date granted
03/22/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1800 Fortino Blvd. Pueblo CO 81008
idaholicensing.com
ID 48345741
LAST UPDATED 2024-02-19 07:05:13 UTC

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