TIM CHARLES MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041974

License Status

NOT RENEWED

Business

First Name

TIM CHARLES

Last Name

MILLER

Suffix

Business Name

TIM CHARLES MILLER MD

Original Issue Date

08/02/1968

Effective Date

04/19/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021