DOREEN E MILLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017627

License Status

EXPIRED

Business

First Name

DOREEN E

Last Name

MILLER

Suffix

Business Name

DOREEN E MILLER MD

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

09/01/1986

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006