JOSEPH JOHN MIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029150

License Status

NOT RENEWED

Business

First Name

JOSEPH JOHN

Last Name

MIRA

Suffix

Business Name

JOSEPH JOHN MIRA MD

Original Issue Date

11/24/1948

Effective Date

11/24/1948

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2006