MIRA G DIORA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

Title

DDS

First Name

MIRA

Middle

Last Name

DIORA

Business Name

MIRA G DIORA DDS

Original Issue Date

05/29/2013

Effective Date

05/29/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016