KATHLEEN J MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

KATHLEEN J

Last Name

MILLER

Suffix

Business Name

KATHLEEN J MILLER MD

Original Issue Date

08/11/1988

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60124

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023