JOHN K MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

JOHN K

Last Name

MILLER

Suffix

Business Name

JOHN K MILLER MD

Original Issue Date

05/14/2007

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020