MAX STEVEN MIROT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090051

License Status

INACTIVE

Business

First Name

MAX STEVEN

Last Name

MIROT

Suffix

Business Name

MAX STEVEN MIROT MD

Original Issue Date

01/26/1995

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FOND DU LAC

State

Zip

54935

Ever Disciplined

LastModifiedDate

08/14/2015