BRENT E MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116663

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

MILLER

Suffix

Business Name

BRENT E MILLER MD

Original Issue Date

08/02/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

11/14/2011