MICHAEL BLAIVAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097299

License Status

INACTIVE

Business

First Name

MICHAEL

Last Name

BLAIVAS

Suffix

Business Name

MICHAEL BLAIVAS MD

Original Issue Date

02/23/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CUMMING

State

Zip

30040

Ever Disciplined

LastModifiedDate

06/22/2008