GRANT G MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091302

License Status

NOT RENEWED

Business

First Name

GRANT G

Last Name

MILLER

Suffix

Business Name

GRANT G MILLER MD

Original Issue Date

07/17/1995

Effective Date

07/17/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006