TIMOTHY A MILLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029377

License Status

EXPIRED

Business

First Name

TIMOTHY A

Last Name

MILLER

Business Name

TIMOTHY A MILLER

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/30/1996

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006