JAIME V MIRAVITE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027441

License Status

EXPIRED

Business

First Name

JAIME V

Last Name

MIRAVITE

Business Name

JAIME V MIRAVITE

Original Issue Date

07/22/1991

Effective Date

07/22/1991

Expiration Date

07/21/1994

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006