TIMOTHY J MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

TIMOTHY J

Last Name

MILLER

Suffix

Business Name

TIMOTHY J MILLER MD

Original Issue Date

06/08/1990

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

BETTENDORF

State

Zip

52722

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021