ROSALYN B MILES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

Title

First Name

ROSALYN

Middle

Last Name

MILES

Business Name

ROSALYN B MILES MD

Original Issue Date

10/18/2016

Effective Date

10/18/2016

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017