SUSAN MARIE IRVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098610

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

IRVINE

Suffix

Business Name

SUSAN MARIE IRVINE MD

Original Issue Date

08/10/1998

Effective Date

08/10/1998

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006