CARLOS DANIEL MIRANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133103

License Status

NOT RENEWED

Business

Title

First Name

CARLOS

Middle

DANIEL

Last Name

MIRANDA

Business Name

CARLOS DANIEL MIRANDA MD

Original Issue Date

05/29/2013

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017