BENJAMIN JAMES MILLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045704

License Status

CANCELLED

Business

First Name

BENJAMIN

Middle

JAMES

Last Name

MILLER

Suffix

Business Name

BENJAMIN JAMES MILLER MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/01/2010