GERALD WILLIAM MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149684

License Status

ACTIVE

Business

Title

First Name

GERALD

Middle

WILLIAM

Last Name

MILLER

Business Name

GERALD WILLIAM MILLER MD

Original Issue Date

06/13/2019

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/06/2023