CONRAD MILLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

INACTIVE

Business

First Name

CONRAD

Last Name

MILLER

Suffix

Business Name

CONRAD MILLER MD

Original Issue Date

08/18/1981

Effective Date

08/18/1981

Expiration Date

09/01/1982

City

BELLEVILLE

State

Zip

62222

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006