JACOB DANIEL MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138658

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

DANIEL

Last Name

MILLER

Business Name

JACOB DANIEL MILLER MD

Original Issue Date

07/14/2015

Effective Date

07/14/2015

Expiration Date

07/31/2017

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017