PATRICK G IRVING DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

PATRICK G

Last Name

IRVING

Suffix

Business Name

PATRICK G IRVING DO

Original Issue Date

10/13/2005

Effective Date

07/09/2014

Expiration Date

07/31/2017

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017