MIGUEL A JIMENEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049531

License Status

NOT RENEWED

Business

First Name

MIGUEL A

Last Name

JIMENEZ

Suffix

Business Name

MIGUEL A JIMENEZ MD

Original Issue Date

08/28/1974

Effective Date

06/15/2011

Expiration Date

07/31/2014

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014