ANNE C MIRANOWSKI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

CANCELLED

Business

First Name

ANNE

Middle

Last Name

MIRANOWSKI

Business Name

ANNE C MIRANOWSKI

Original Issue Date

07/22/2003

Effective Date

07/22/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006