BRUCE C IRVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043194

License Status

NOT RENEWED

Business

First Name

BRUCE C

Last Name

IRVINE

Suffix

Business Name

BRUCE C IRVINE MD

Original Issue Date

01/30/1970

Effective Date

01/30/1970

City

OGDEN

State

Zip

88046

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006