SHELLY ANN ANGELA MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123862

License Status

ACTIVE

Business

First Name

SHELLY ANN

Middle

ANGELA

Last Name

MILLER

Suffix

Business Name

SHELLY ANN ANGELA MILLER MD

Original Issue Date

06/30/2009

Effective Date

10/24/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

10/28/2024

Case Number

2014008538

Action

Suspension

Discipline Start Date

11/21/2014

Discipline End Date

12/12/2014

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/15/2014.