License holder summary

GENNADIY IVANOV is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for GENNADIY IVANOV is Mountain Top PA 18707. This medical practitioner license is current. The license was granted 02/13/2015 and expired on 12/31/2016.

Department of State

Board of Medicine

GENNADIY IVANOV
Medical Physician And Surgeon
License number
MD454021
Date granted
02/13/2015
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
Mountain Top PA 18707
medicinepa.com
ID 37625057
LAST UPDATED 2026-06-06 23:55:12 UTC

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

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