TIM ALAN MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

TIM

Middle

ALAN

Last Name

MILLER

Suffix

Business Name

TIM ALAN MILLER MD

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

07/31/2005

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020