MARK TODD MILLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028578

License Status

EXPIRED

Business

First Name

MARK TODD

Last Name

MILLER

Business Name

MARK TODD MILLER

Original Issue Date

06/03/1992

Effective Date

06/03/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006