License holder summary

GONSALVES, IVAN ALPHONSO, MD is a Medical - Physician licensed to practice in Georgia. The address on file for GONSALVES, IVAN ALPHONSO, MD is 8200 E JEFFERSON AVE, DETROIT 48214. This doctor license is not current. The license was granted 07/26/1962 and expired on 12/31/1995.

Georgia

Composite Medical Board

GONSALVES, IVAN ALPHONSO, MD
Medical - Physician
License number
009825
Date granted
07/26/1962
Date expires
12/31/1995
Class
Medical - Physician
Status
Deceased
Address
8200 E JEFFERSON AVE
georgiadoctors.net
ID 38045927
LAST UPDATED 2024-02-17 17:56:18 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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