DOUGLAS JAY MILLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107902

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

JAY

Last Name

MILLER

Suffix

Business Name

DOUGLAS JAY MILLER MD

Original Issue Date

09/20/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BOCA RATON

State

Zip

33428

Ever Disciplined

LastModifiedDate

04/17/2008