MIAO NA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000308

License Status

EXPIRED

Business

First Name

MIAO

Last Name

Suffix

Business Name

MIAO NA MD

Original Issue Date

05/29/2007

Effective Date

05/29/2007

Expiration Date

11/28/2007

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

01/03/2008