ROSITA L F MIRANDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051739

License Status

CANCELLED

Business

First Name

ROSITA L

Middle

Last Name

MIRANDA

Suffix

Business Name

ROSITA L F MIRANDA MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006