DANA BRIAN MIRKIN MD - Medical Doctor License in Oregon | # 036056882

DANA BRIAN MIRKIN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056882

License Status

INACTIVE

Business

N

First Name

DANA BRIAN

Last Name

MIRKIN

Suffix

MD

Business Name

DANA BRIAN MIRKIN MD

Original Issue Date

06/28/1978

Effective Date

06/28/1978

Expiration Date

07/31/1999

State

OR

Ever Disciplined

N

LastModifiedDate

09/20/2006