DAVID EDWARD MILLER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035995

License Status

EXPIRED

Business

First Name

DAVID

Middle

EDWARD

Last Name

MILLER

Suffix

Business Name

DAVID EDWARD MILLER DO

Original Issue Date

05/14/1997

Effective Date

05/14/1997

Expiration Date

06/19/1998

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006