License holder summary

BOLIVIA DAVIS is a Physician/Surgeon licensed to practice in Connecticut. The address on file for BOLIVIA DAVIS is 12907 ST EDMUND WAY, MITCHELLVILLE, MD, 20721, Bowie. This licensed professional license is current. The license was granted 02/04/2005 and expired on 12/31/2014.

Connecticut

Department of Consumer Protection

BOLIVIA DAVIS
Physician/Surgeon
License number
43089
Date granted
02/04/2005
Date expires
12/31/2014
Class
Physician/Surgeon
Status
Active
Address
12907 ST EDMUND WAY, MITCHELLVILLE, MD, 20721
ctlicensing.org
ID 4349872
LAST UPDATED 2024-03-04 04:49:41 UTC

This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.

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