MAXINE REEDY 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

Title

First Name

MAXINE

Middle

REEDY

Last Name

MILLER

Business Name

MAXINE REEDY MILLER MD

Original Issue Date

07/19/2022

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

LAKE VILLA

State

Zip

60046

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

07/01/2023