MAURICIO JUNIOR MIRANDA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009878

License Status

ACTIVE

Business

First Name

MAURICIO

Middle

JUNIOR

Last Name

MIRANDA

Business Name

MAURICIO JUNIOR MIRANDA

Original Issue Date

07/28/2023

Effective Date

02/25/2026

Expiration Date

03/01/2028

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

02/25/2026