ROBERTO MIRANDA NORRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

ROBERTO MIRANDA

Last Name

NORRIS

Suffix

Business Name

ROBERTO MIRANDA NORRIS MD

Original Issue Date

12/27/1989

Effective Date

12/27/1989

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006