JAIME V MIRAVITE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087628

License Status

NOT RENEWED

Business

First Name

JAIME V

Last Name

MIRAVITE

Business Name

JAIME V MIRAVITE

Original Issue Date

10/19/1993

Effective Date

10/19/1993

Expiration Date

07/31/1996

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/20/2006