License holder summary

BEVILACQUA, ANTHONY MICHAEL, DO is a Medical - Physician licensed to practice in Georgia. The address on file for BEVILACQUA, ANTHONY MICHAEL, DO is 150 BURNETT'S WAY | SUITE 100, SUFFOLK 23434. This doctor license is not current. The license was granted 09/12/2003 and expired on 03/31/2009.

Georgia

Composite Medical Board

BEVILACQUA, ANTHONY MICHAEL, DO
Medical - Physician
License number
053672
Date granted
09/12/2003
Date expires
03/31/2009
Class
Medical - Physician
Status
Lapsed
Address
150 BURNETT'S WAY | SUITE 100
georgiadoctors.net
ID 38028379
LAST UPDATED 2024-03-05 22:38:54 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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