License holder summary

Gavin Douglas Divertie is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Gavin Douglas Divertie is 4500 San Pablo Road, Mayo Building 1-518N, Jacksonville, FL 32224. This doctor license is current. The license was granted 11/10/1984 and expired on 12/31/2014.

Department of Safety and Professional Services

Board of Medical Practice

Gavin Douglas Divertie
Medical - Physician And Surgeon
License number
28919
Date granted
11/10/1984
Date expires
12/31/2014
Class
Medical - Physician And Surgeon
Status
Active
Address
4500 San Pablo Road, Mayo Building 1-518N, Jacksonville, FL 32224
doctorsminnesota.org
ID 22199277
LAST UPDATED 2024-03-20 19:36:39 UTC

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