DOUGLAS MICHAEL MILLER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137034

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

MICHAEL

Last Name

MILLER

Business Name

DOUGLAS MICHAEL MILLER DO

Original Issue Date

01/06/2015

Effective Date

01/06/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017