JUAN A MIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044386

License Status

NOT RENEWED

Business

First Name

JUAN A

Last Name

MIR

Suffix

Business Name

JUAN A MIR MD

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

07/31/1990

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006