THERESA MARIE MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000637

License Status

NOT RENEWED

Business

Title

First Name

THERESA

Middle

MARIE

Last Name

MILLER

Business Name

THERESA MARIE MILLER MD

Original Issue Date

09/21/2015

Effective Date

09/21/2015

Expiration Date

10/20/2015

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/07/2016