EDWARD J MIRON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063532

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

MIRON

Suffix

Business Name

EDWARD J MIRON MD

Original Issue Date

11/13/1981

Effective Date

11/13/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006