WALTER CHARLES MILLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038908

License Status

INACTIVE

Business

Title

First Name

WALTER

Middle

CHARLES

Last Name

MILLER

Business Name

WALTER CHARLES MILLER MD

Original Issue Date

01/20/1964

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

SAINT CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

04/08/2014