DONALD DAVID MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

DAVID

Last Name

MILLER

Suffix

Business Name

DONALD DAVID MILLER MD

Original Issue Date

06/14/2006

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011