JOHNATHAN CHANCELLOR MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

JOHNATHAN

Middle

CHANCELLOR

Last Name

MILLER

Business Name

JOHNATHAN CHANCELLOR MILLER MD

Original Issue Date

06/22/2021

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023