MYRON COLIN MARIANO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028281

License Status

EXPIRED

Business

First Name

MYRON COLIN

Last Name

MARIANO

Business Name

MYRON COLIN MARIANO

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

06/23/1995

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2011