JEREMY P IRVING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105497

License Status

ACTIVE

Business

First Name

JEREMY

Middle

Last Name

IRVING

Suffix

Business Name

JEREMY P IRVING MD

Original Issue Date

08/28/2001

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

WEST COLUMBIA

State

Zip

29169

Ever Disciplined

LastModifiedDate

07/18/2023