DANA BRIAN MIRKIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056882

License Status

INACTIVE

Business

First Name

DANA BRIAN

Last Name

MIRKIN

Suffix

Business Name

DANA BRIAN MIRKIN MD

Original Issue Date

06/28/1978

Effective Date

06/28/1978

Expiration Date

07/31/1999

City

PORTLAND

State

Zip

97201

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006