MIRA A KUDER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

MIRA

Middle

Last Name

KUDER

Business Name

MIRA A KUDER

Original Issue Date

03/10/2005

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

WHEELING

State

Zip

60090

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020