BRUCE W IRWIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

Last Name

IRWIN

Suffix

Business Name

BRUCE W IRWIN MD

Original Issue Date

11/24/1997

Effective Date

11/24/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60603

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011