MAX STEVEN MIROT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

MAX STEVEN

Last Name

MIROT

Suffix

Business Name

MAX STEVEN MIROT MD

Original Issue Date

02/08/1995

Effective Date

02/08/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006