ELLIOTT IRWIN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001517

License Status

EXPIRED

Business

Title

First Name

ELLIOTT

Last Name

IRWIN

Business Name

ELLIOTT IRWIN DO

Original Issue Date

04/05/2023

Effective Date

04/05/2023

Expiration Date

05/02/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/06/2024