GEOFFREY WILLIAM MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039466

License Status

NOT RENEWED

Business

First Name

GEOFFREY WILLIAM

Last Name

MILLER

Suffix

Business Name

GEOFFREY WILLIAM MILLER MD

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

07/31/1999

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2006