KRISTIN A MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112218

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

MILLER

Suffix

Business Name

KRISTIN A MILLER MD

Original Issue Date

08/26/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DAVENPORT

State

Zip

52807

County

SCOTT

Ever Disciplined

LastModifiedDate

11/06/2008