CHASE PAUL IRVIN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075013

License Status

EXPIRED

Business

Title

First Name

CHASE

Middle

PAUL

Last Name

IRVIN

Business Name

CHASE PAUL IRVIN DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022