JONATHAN SCOTT MILLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046092

License Status

EXPIRED

Business

First Name

JONATHAN

Middle

SCOTT

Last Name

MILLER

Suffix

Business Name

JONATHAN SCOTT MILLER MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006