IVAN A BOLIVAR MD - Medical Doctor License in Florida | # 036098479

IVAN A BOLIVAR MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098479

License Status

INACTIVE

Business

N

First Name

IVAN

Middle

A

Last Name

BOLIVAR

Suffix

MD

Business Name

IVAN A BOLIVAR MD

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

07/31/2005

State

FL

Ever Disciplined

N

LastModifiedDate

10/09/2006