MICHAEL A MILLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032673

License Status

EXPIRED

Business

First Name

MICHAEL A

Last Name

MILLER

Business Name

MICHAEL A MILLER

Original Issue Date

05/24/1995

Effective Date

05/24/1995

Expiration Date

06/30/1998

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006