CHARLES R MILLER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144106

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

Last Name

MILLER

Business Name

CHARLES R MILLER DO

Original Issue Date

08/15/2017

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

04/12/2023