TODD A IRWIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

TODD

Middle

Last Name

IRWIN

Business Name

TODD A IRWIN MD

Original Issue Date

04/10/2008

Effective Date

07/24/2012

Expiration Date

07/31/2014

City

ANN ARBOR

State

Zip

48103

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017