TIMOTHY A MILLER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

TIMOTHY A

Last Name

MILLER

Business Name

TIMOTHY A MILLER

Original Issue Date

08/14/1996

Effective Date

08/14/1996

Expiration Date

07/31/1999

City

MAROA

State

Zip

61756

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020