BRADY LEE MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

BRADY

Middle

LEE

Last Name

MILLER

Business Name

BRADY LEE MILLER MD

Original Issue Date

06/03/2021

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023