ROBERTO MIRANDA NORRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037048

License Status

NOT RENEWED

Business

First Name

ROBERTO MIRANDA

Last Name

NORRIS

Suffix

Business Name

ROBERTO MIRANDA NORRIS MD

Original Issue Date

12/21/1960

Effective Date

12/21/1960

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006