JEREMY JACKSON MILLER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

JEREMY

Middle

JACKSON

Last Name

MILLER

Business Name

JEREMY JACKSON MILLER DO

Original Issue Date

02/21/2024

Effective Date

02/21/2024

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/21/2024