LYLE CHARLES MACIVER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115735

License Status

INACTIVE

Business

First Name

LYLE

Middle

CHARLES

Last Name

MACIVER

Suffix

Business Name

LYLE CHARLES MACIVER MD

Original Issue Date

04/19/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BRAINERD

State

Zip

56401

Ever Disciplined

LastModifiedDate

04/17/2008