MICHAEL BLAIVAS MD - Medical Doctor License in Georgia | # 036097299

MICHAEL BLAIVAS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097299

License Status

INACTIVE

Business

N

First Name

MICHAEL

Last Name

BLAIVAS

Suffix

MD

Business Name

MICHAEL BLAIVAS MD

Original Issue Date

02/23/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

GA

Ever Disciplined

N

LastModifiedDate

06/22/2008