MARK R MILLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023359

License Status

EXPIRED

Business

First Name

MARK R

Last Name

MILLER

Suffix

Business Name

MARK R MILLER MD

Original Issue Date

04/24/1989

Effective Date

04/24/1989

Expiration Date

06/20/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006