DANIEL MARK MIRAU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150642

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

MARK

Last Name

MIRAU

Business Name

DANIEL MARK MIRAU MD

Original Issue Date

08/30/2019

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

PHILADELPHIA

State

Zip

19125

Ever Disciplined

LastModifiedDate

11/30/2023