MIGUEL S DACCARETT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145151

License Status

INACTIVE

Business

Title

First Name

MIGUEL

Middle

Last Name

DACCARETT

Business Name

MIGUEL S DACCARETT MD

Original Issue Date

02/20/2018

Effective Date

05/12/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023