BRUCE C IRVINE MD - Medical Doctor License in Utah | # 036043194

BRUCE C IRVINE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043194

License Status

NOT RENEWED

Business

N

First Name

BRUCE C

Last Name

IRVINE

Suffix

MD

Business Name

BRUCE C IRVINE MD

Original Issue Date

01/30/1970

Effective Date

01/30/1970

State

UT

Ever Disciplined

N

LastModifiedDate

09/20/2006