SHELLY ANN ANGELA MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

SHELLY ANN

Middle

ANGELA

Last Name

MILLER

Suffix

Business Name

SHELLY ANN ANGELA MILLER MD

Original Issue Date

07/02/2009

Effective Date

10/24/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/25/2024