LYLE CHARLES MACIVER MD - Medical Doctor License in Minnesota | # 036115735

LYLE CHARLES MACIVER MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115735

License Status

INACTIVE

Business

N

First Name

LYLE

Middle

CHARLES

Last Name

MACIVER

Suffix

MD

Business Name

LYLE CHARLES MACIVER MD

Original Issue Date

04/19/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

MN

Ever Disciplined

N

LastModifiedDate

04/17/2008