ELLIOTT IRWIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082180

License Status

ACTIVE

Business

Title

First Name

ELLIOTT

Last Name

IRWIN

Business Name

ELLIOTT IRWIN DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2027

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/16/2025