TERRY L MILLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023351

License Status

EXPIRED

Business

First Name

TERRY L

Last Name

MILLER

Business Name

TERRY L MILLER

Original Issue Date

04/24/1989

Effective Date

04/24/1989

Expiration Date

07/01/1992

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006