DARYL KEITH MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

DARYL

Middle

KEITH

Last Name

MILLER

Suffix

Business Name

DARYL KEITH MILLER MD

Original Issue Date

11/05/1998

Effective Date

05/27/2011

Expiration Date

07/31/2014

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017