MIRIAM MANGLANO TIERNEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036237

License Status

EXPIRED

Business

First Name

MIRIAM

Last Name

MANGLANO TIERNEY

Business Name

MIRIAM MANGLANO TIERNEY

Original Issue Date

05/21/1997

Effective Date

05/21/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006