JEREMY P IRVING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

Last Name

IRVING

Suffix

Business Name

JEREMY P IRVING MD

Original Issue Date

09/25/2001

Effective Date

07/21/2020

Expiration Date

07/31/2023

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023