JEFFREY WILLIAM MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048795

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

WILLIAM

Last Name

MILLER

Business Name

JEFFREY WILLIAM MILLER MD

Original Issue Date

08/18/2004

Effective Date

08/18/2004

Expiration Date

09/15/2006

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2006