ALONSO BOLIVAR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011155

License Status

ACTIVE

Business

First Name

ALONSO

Last Name

BOLIVAR

Business Name

ALONSO BOLIVAR

Original Issue Date

02/27/2025

Effective Date

01/07/2026

Expiration Date

03/01/2028

City

BOCA RATON

State

Zip

33431

Ever Disciplined

LastModifiedDate

01/07/2026