Indiana
Professional Licensing Agency
CONCHITA QUI SANDOVAL
Controlled Substance Registration - Physician
License number
01040448B
Date granted
06/26/1992
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CYNTHIA H DAVIS, M.D., 602 S STATE STREET BOX 70, MISHAWAKA IN 46544
indianalicensing.org
ID 5894741
LAST UPDATED 2024-03-25 04:33:51 UTC
LAST UPDATED 2024-03-25 04:33:51 UTC
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