STACEY-ANN ALECIA MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077686

License Status

ACTIVE

Business

Title

First Name

STACEY-ANN

Middle

ALECIA

Last Name

MILLER

Business Name

STACEY-ANN ALECIA MILLER MD

Original Issue Date

06/26/2024

Effective Date

06/26/2024

Expiration Date

06/25/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Child and Adolescent Psychiatry

Ever Disciplined

LastModifiedDate

03/08/2024