IVAN A BOLIVAR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098479

License Status

INACTIVE

Business

First Name

IVAN

Middle

Last Name

BOLIVAR

Suffix

Business Name

IVAN A BOLIVAR MD

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

07/31/2005

City

WINDERMERE

State

Zip

34786

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006