ALTAGRACIA MIRANDA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122005

License Status

NOT RENEWED

Business

First Name

ALTAGRACIA

Last Name

MIRANDA

Business Name

ALTAGRACIA MIRANDA

Original Issue Date

09/29/2008

Effective Date

09/29/2008

Expiration Date

07/31/2011

City

MIAMI BEACH

State

Zip

33139

Ever Disciplined

LastModifiedDate

11/14/2011