JOSEPH JOHN MIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

JOSEPH JOHN

Last Name

MIRA

Suffix

Business Name

JOSEPH JOHN MIRA MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CAREFREE

State

Zip

85377

County

ARIZONA

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

09/26/2006