IVAN JAVIER GAMBOA VELEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135713

License Status

NOT RENEWED

Business

Title

First Name

IVAN

Middle

JAVIER

Last Name

GAMBOA VELEZ

Business Name

IVAN JAVIER GAMBOA VELEZ MD

Original Issue Date

06/27/2014

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

BATON ROUGE

State

Zip

70810

Ever Disciplined

LastModifiedDate

11/30/2023