LAURENCE IRWIN MILLER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101686

License Status

NOT RENEWED

Business

First Name

LAURENCE

Middle

IRWIN

Last Name

MILLER

Suffix

Business Name

LAURENCE IRWIN MILLER DO

Original Issue Date

12/08/1999

Effective Date

07/17/2014

Expiration Date

07/31/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/01/2017