Michael Edward Ivan
ExpiredCalifornia license A112237
License
- Licensed by
- Medical Board of California
- License number
- A112237
- Status
- Expired (Delinquent)
- First issued
- May 5, 2010
- Expired
- May 31, 2024
- License holder
- Michael Edward Ivan
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1095 NW 14th Ter Fl 2
Miami, FL 33136-1060
Miami, FL 33136-1060
Miami-Dade County