License holder summary

JIVCU, BENJAMIN R, DO is a Medical - Physician licensed to practice in Georgia. The address on file for JIVCU, BENJAMIN R, DO is 2501 NORTH PATTERSON STREET, Valdosta 31602. This doctor license is not current. The license was granted 09/13/2012 and expired on 03/31/2016.

Georgia

Composite Medical Board

JIVCU, BENJAMIN R, DO
Medical - Physician
License number
068645
Date granted
09/13/2012
Date expires
03/31/2016
Class
Medical - Physician
Status
In Renewal
Address
2501 NORTH PATTERSON STREET
georgiadoctors.net
ID 38053685
LAST UPDATED 2024-02-12 09:16:38 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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