MIRA CANTRELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061398

License Status

NOT RENEWED

Business

First Name

MIRA

Last Name

CANTRELL

Suffix

Business Name

MIRA CANTRELL MD

Original Issue Date

12/19/1980

Effective Date

12/19/1980

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006