KENT E MILLER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

KENT E

Last Name

MILLER

Business Name

KENT E MILLER

Original Issue Date

09/18/1996

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61630

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023