JAY JAMES R MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108046

License Status

ACTIVE

Business

Title

First Name

JAY JAMES

Middle

Last Name

MILLER

Business Name

JAY JAMES R MILLER MD

Original Issue Date

10/21/2002

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/06/2023