SUSAN MARIE IRVINE MD - Medical Doctor License in Missouri | # 036098610

SUSAN MARIE IRVINE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098610

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

MARIE

Last Name

IRVINE

Suffix

MD

Business Name

SUSAN MARIE IRVINE MD

Original Issue Date

08/10/1998

Effective Date

08/10/1998

Expiration Date

07/31/2005

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006