MIRANDA ANNE HART MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

MIRANDA

Middle

ANNE

Last Name

HART

Business Name

MIRANDA ANNE HART MD

Original Issue Date

06/08/2015

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60203

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023