CARLOS DANIEL MIRANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

CARLOS

Middle

DANIEL

Last Name

MIRANDA

Business Name

CARLOS DANIEL MIRANDA MD

Original Issue Date

05/29/2013

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017