MIRANDA NABIL BISHARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

MIRANDA

Middle

NABIL

Last Name

BISHARA

Business Name

MIRANDA NABIL BISHARA MD

Original Issue Date

06/15/2010

Effective Date

06/15/2010

Expiration Date

07/31/2011

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020