IVAN A BOLIVAR MD - Medical Doctor License in Illinois | # 125033412

IVAN A BOLIVAR MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033412

License Status

EXPIRED

Business

N

First Name

IVAN

Middle

A

Last Name

BOLIVAR

Suffix

MD

Business Name

IVAN A BOLIVAR MD

Original Issue Date

06/15/1995

Effective Date

06/15/1995

Expiration Date

06/30/1999

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006