CARLOS DANIEL MIRANDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057423

License Status

CANCELLED

Business

Title

First Name

CARLOS

Middle

DANIEL

Last Name

MIRANDA

Business Name

CARLOS DANIEL MIRANDA MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/27/2010