MELISSA ANN MIARA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

ANN

Last Name

MIARA

Business Name

MELISSA ANN MIARA DO

Original Issue Date

03/17/2016

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021