MARK A MILLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019533

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

MILLER

Business Name

MARK A MILLER

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006