JOHN HENRY IVY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036027128

License Status

INACTIVE

Business

First Name

JOHN HENRY

Last Name

IVY

Suffix

Business Name

JOHN HENRY IVY MD

Original Issue Date

09/03/1946

Effective Date

09/03/1946

Expiration Date

07/31/1987

City

ELKHART

State

Zip

46514

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006