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 2026-05-04 17:16:13 UTC
LAST UPDATED 2026-05-04 17:16:13 UTC
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