MILES ROBERT CONGRESS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052827

License Status

NOT RENEWED

Business

First Name

MILES ROBERT

Last Name

CONGRESS

Suffix

Business Name

MILES ROBERT CONGRESS MD

Original Issue Date

06/10/1976

Effective Date

06/10/1976

Expiration Date

07/01/1978

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

12/23/2016