DIANA CAROLINA MIRANDA RUIZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066637

License Status

CANCELLED

Business

Title

First Name

DIANA

Middle

CAROLINA

Last Name

MIRANDA RUIZ

Business Name

DIANA CAROLINA MIRANDA RUIZ MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2018

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/19/2015