PETER DANIEL MILLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066086

License Status

CANCELLED

Business

Title

First Name

PETER

Middle

DANIEL

Last Name

MILLER

Business Name

PETER DANIEL MILLER MD

Original Issue Date

09/12/2014

Effective Date

09/12/2014

Expiration Date

09/11/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/12/2014