SCOTT E MILLER - Medical Doctor License in Wisconsin | # 130000177

SCOTT E MILLER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000177

License Status

EXPIRED

Business

N

First Name

SCOTT

Middle

E

Last Name

MILLER

Business Name

SCOTT E MILLER

Original Issue Date

08/05/1992

Effective Date

08/05/1992

Expiration Date

01/01/1997

State

WI

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/25/2006