KENNITH ALBERT MILLER DO - Medical Doctor License in Wisconsin | # 036122466

KENNITH ALBERT MILLER DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122466

License Status

NOT RENEWED

Business

N

Title

DO

First Name

KENNITH

Middle

ALBERT

Last Name

MILLER

Business Name

KENNITH ALBERT MILLER DO

Original Issue Date

01/16/2009

Effective Date

01/16/2009

Expiration Date

07/31/2011

State

WI

Ever Disciplined

N

LastModifiedDate

11/14/2011