JENNY MIRANDA CAMPBELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

JENNY

Middle

MIRANDA

Last Name

CAMPBELL

Suffix

Business Name

JENNY MIRANDA CAMPBELL MD

Original Issue Date

05/04/2005

Effective Date

05/04/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008