IVAN EDUARDO LIZARAZO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124617

License Status

NOT RENEWED

Business

First Name

IVAN

Middle

EDUARDO

Last Name

LIZARAZO

Suffix

Business Name

IVAN EDUARDO LIZARAZO MD

Original Issue Date

11/16/2009

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

DORAL

State

Zip

33178

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014