License holder summary

CONCHITA QUI SANDOVAL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CONCHITA QUI SANDOVAL is CYNTHIA H DAVIS, M.D., 602 S STATE STREET BOX 70, MISHAWAKA IN 46544. This licensed professional license is not current. The license was granted 06/26/1992 and expired on 06/30/1995.

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 2026-05-23 21:25:01 UTC

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