JENNIFER LYNN MILLER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047147

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

MILLER

Suffix

Business Name

JENNIFER LYNN MILLER DO

Original Issue Date

01/16/2004

Effective Date

01/16/2004

Expiration Date

01/15/2007

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006