ALEXANDER ANATOLYEVICH IVANOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129930

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

ANATOLYEVICH

Last Name

IVANOV

Business Name

ALEXANDER ANATOLYEVICH IVANOV MD

Original Issue Date

04/03/2012

Effective Date

03/13/2024

Expiration Date

07/31/2026

City

CARMICHAEL

State

Zip

95608

Ever Disciplined

LastModifiedDate

03/01/2024