EDWARD CARL W MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060134

License Status

NOT RENEWED

Business

First Name

EDWARD CARL W

Last Name

MILLER

Suffix

Business Name

EDWARD CARL W MILLER MD

Original Issue Date

03/13/1980

Effective Date

03/13/1980

Expiration Date

07/31/1987

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006