MAURICIO JUNIOR MIRANDA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

ACTIVE

Business

First Name

MAURICIO

Middle

JUNIOR

Last Name

MIRANDA

Business Name

MAURICIO JUNIOR MIRANDA

Original Issue Date

09/01/2023

Effective Date

02/25/2026

Expiration Date

03/01/2028

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2026