MIRIAM DAVID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069435

License Status

NOT RENEWED

Business

First Name

MIRIAM

Last Name

DAVID

Suffix

Business Name

MIRIAM DAVID MD

Original Issue Date

09/18/1984

Effective Date

09/18/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006