ULYSSES FERNANDEZ-MIRO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080055

License Status

EXPIRED

Business

Title

First Name

ULYSSES

Last Name

FERNANDEZ-MIRO

Business Name

ULYSSES FERNANDEZ-MIRO DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2025