ARMAND G MIRANDA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092160

License Status

NOT RENEWED

Business

First Name

ARMAND G

Last Name

MIRANDA

Suffix

Business Name

ARMAND G MIRANDA DO

Original Issue Date

11/17/1995

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2016007415

Action

Suspension

Discipline Start Date

10/29/2016

Discipline End Date

11/16/2016

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/17/2016.