MIRIAM DAVID MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016059

License Status

EXPIRED

Business

First Name

MIRIAM

Last Name

DAVID

Suffix

Business Name

MIRIAM DAVID MD

Original Issue Date

06/27/1983

Effective Date

06/27/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2021