LAUREN LANDERHOLM MILLER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

LAUREN

Middle

LANDERHOLM

Last Name

MILLER

Business Name

LAUREN LANDERHOLM MILLER DO

Original Issue Date

07/20/2021

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023