ANNE C MIRANOWSKI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109507

License Status

INACTIVE

Business

First Name

ANNE

Middle

Last Name

MIRANOWSKI

Business Name

ANNE C MIRANOWSKI

Original Issue Date

06/20/2003

Effective Date

06/20/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006