DOUGLAS MICHAEL MILLER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059734

License Status

CANCELLED

Business

Title

First Name

DOUGLAS

Middle

MICHAEL

Last Name

MILLER

Business Name

DOUGLAS MICHAEL MILLER DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

05/23/2014