KENT E MILLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031645

License Status

EXPIRED

Business

First Name

KENT E

Last Name

MILLER

Business Name

KENT E MILLER

Original Issue Date

06/01/1994

Effective Date

06/01/1994

Expiration Date

06/30/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006