DAVID KIMBALL MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041688

License Status

NOT RENEWED

Business

First Name

DAVID KIMBALL

Last Name

MILLER

Suffix

Business Name

DAVID KIMBALL MILLER MD

Original Issue Date

05/29/1968

Effective Date

05/29/1968

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006