JACOB I MIRMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078365

License Status

NOT RENEWED

Business

First Name

JACOB I

Last Name

MIRMAN

Suffix

Business Name

JACOB I MIRMAN MD

Original Issue Date

01/28/1989

Effective Date

01/28/1989

Expiration Date

07/31/2002

City

MINNEAPOLIS

State

Zip

55410

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/09/2006