ANNE V MILLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118007

License Status

INACTIVE

Business

First Name

ANNE

Middle

Last Name

MILLER

Suffix

Business Name

ANNE V MILLER MD

Original Issue Date

04/03/2007

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/11/2017