JULIO A MIRANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112206

License Status

NOT RENEWED

Business

First Name

JULIO

Middle

Last Name

MIRANDA

Suffix

Business Name

JULIO A MIRANDA MD

Original Issue Date

08/25/2004

Effective Date

05/22/2014

Expiration Date

07/31/2017

City

NORTHAMPTON

State

Zip

01060

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/01/2017