JONATHAN B MILLER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078726

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

Last Name

MILLER

Business Name

JONATHAN B MILLER DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

10/30/2024