MIRA MENON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056968

License Status

INACTIVE

Business

First Name

MIRA

Last Name

MENON

Suffix

Business Name

MIRA MENON MD

Original Issue Date

06/28/1978

Effective Date

06/28/1978

Expiration Date

07/31/1987

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006