Dentist
LICENSED DENTIST
019020207
ACTIVE
N
MIRA
ANDRE
MIRA ANDRE
07/11/1986
05/06/2024
09/30/2027
LYONS
IL
60534
COOK
Y
05/06/2024
2007001979
Probation
03/25/2009
03/24/2010
for failure to provide a proper treatment plan and maintain proper records.