MIRA CANTRELL MD - Medical Doctor License in Illinois | # 036061398

MIRA CANTRELL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061398

License Status

NOT RENEWED

Business

N

First Name

MIRA

Last Name

CANTRELL

Suffix

MD

Business Name

MIRA CANTRELL MD

Original Issue Date

12/19/1980

Effective Date

12/19/1980

Expiration Date

07/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006