SUE DAVENPORT MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155148

License Status

ACTIVE

Business

Title

First Name

SUE

Middle

DAVENPORT

Last Name

MILLER

Business Name

SUE DAVENPORT MILLER MD

Original Issue Date

12/28/2020

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

03/03/2025