MYRON D MILLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013909

License Status

EXPIRED

Business

First Name

MYRON

Middle

Last Name

MILLER

Business Name

MYRON D MILLER

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006