CHARLES MICHAEL IRVIN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

CHARLES MICHAEL

Last Name

IRVIN

Business Name

CHARLES MICHAEL IRVIN

Original Issue Date

07/01/1982

Effective Date

07/01/1982

Expiration Date

01/31/1987

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006