CAROLYN S MCIRVIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055999

License Status

CANCELLED

Business

Title

First Name

CAROLYN

Middle

Last Name

MCIRVIN

Business Name

CAROLYN S MCIRVIN DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/16/2009