DIANA CAROLINA MIRANDA RUIZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143860

License Status

NOT RENEWED

Business

Title

First Name

DIANA

Middle

CAROLINA

Last Name

MIRANDA RUIZ

Business Name

DIANA CAROLINA MIRANDA RUIZ MD

Original Issue Date

07/18/2017

Effective Date

07/18/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021