WALTER CHARLES 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

Title

First Name

WALTER

Middle

CHARLES

Last Name

MILLER

Business Name

WALTER CHARLES MILLER MD

Original Issue Date

01/01/1997

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

SAINT CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014