GLENN D MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069608

License Status

ACTIVE

Business

First Name

GLENN D

Last Name

MILLER

Suffix

Business Name

GLENN D MILLER MD

Original Issue Date

10/09/1984

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

Ever Disciplined

LastModifiedDate

04/09/2023