ROSITA L F MIRANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

ROSITA L

Middle

Last Name

MIRANDA

Suffix

Business Name

ROSITA L F MIRANDA MD

Original Issue Date

10/21/2008

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

FLORA

State

Zip

62839

County

CLAY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014