License holder summary

Lisa Rose Irvin is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Lisa Rose Irvin is Partners in Pediatrics, 3910 Excelsior Blvd, St. Louis Park, MN 55416. This doctor license is current. The license was granted 11/14/1998 and expired on 07/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Lisa Rose Irvin
Medical - Physician And Surgeon
License number
41186
Date granted
11/14/1998
Date expires
07/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
Partners in Pediatrics, 3910 Excelsior Blvd, St. Louis Park, MN 55416
doctorsminnesota.org
ID 22227391
LAST UPDATED 2024-02-07 18:48:48 UTC

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