RUSSELL M MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

RUSSELL M

Last Name

MILLER

Suffix

Business Name

RUSSELL M MILLER MD

Original Issue Date

03/12/1984

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020