GREGORY ALAN MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

ALAN

Last Name

MILLER

Business Name

GREGORY ALAN MILLER MD

Original Issue Date

09/18/2012

Effective Date

09/18/2012

Expiration Date

07/31/2014

City

NAUVOO

State

Zip

62354

County

HANCOCK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017