ROBERTO MIRANDA NORRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

ROBERTO MIRANDA

Last Name

NORRIS

Suffix

Business Name

ROBERTO MIRANDA NORRIS MD

Original Issue Date

01/04/1990

Effective Date

01/04/1990

Expiration Date

07/31/1993

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006