JOHN KEVIN EDWARD MILLER DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105875

License Status

INACTIVE

Business

Title

First Name

JOHN

Middle

KEVIN EDWARD

Last Name

MILLER

Business Name

JOHN KEVIN EDWARD MILLER DO

Original Issue Date

11/21/2001

Effective Date

06/15/2011

Expiration Date

07/31/2014

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/08/2014