GREGG M MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083688

License Status

NOT RENEWED

Business

First Name

GREGG M

Last Name

MILLER

Suffix

Business Name

GREGG M MILLER MD

Original Issue Date

11/04/1991

Effective Date

11/04/1991

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006