DONALD DAVID MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

DAVID

Last Name

MILLER

Suffix

Business Name

DONALD DAVID MILLER MD

Original Issue Date

01/28/2000

Effective Date

01/28/2000

Expiration Date

07/31/2002

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011