MIRANDA ELIZABETH BLEVINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150911

License Status

ACTIVE

Business

Title

First Name

MIRANDA

Middle

ELIZABETH

Last Name

BLEVINS

Business Name

MIRANDA ELIZABETH BLEVINS MD

Original Issue Date

10/01/2019

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

Ever Disciplined

LastModifiedDate

07/15/2023