MIRANDA NICOLE EDWARDS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063393

License Status

EXPIRED

Business

Title

First Name

MIRANDA

Middle

NICOLE

Last Name

EDWARDS

Business Name

MIRANDA NICOLE EDWARDS MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

08/31/2017

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

11/01/2017