DAVID WARREN MILLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034795

License Status

EXPIRED

Business

First Name

DAVID

Middle

WARREN

Last Name

MILLER

Suffix

Business Name

DAVID WARREN MILLER MD

Original Issue Date

05/30/1996

Effective Date

05/30/1996

Expiration Date

06/23/1999

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006