DANIEL WESLEY MILLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064620

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

WESLEY

Last Name

MILLER

Business Name

DANIEL WESLEY MILLER MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/17/2017