MYRON D MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066904

License Status

NOT RENEWED

Business

First Name

MYRON D

Last Name

MILLER

Suffix

Business Name

MYRON D MILLER MD

Original Issue Date

07/15/1983

Effective Date

07/15/1983

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006