STEPHEN RAYMOND MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

RAYMOND

Last Name

MILLER

Suffix

Business Name

STEPHEN RAYMOND MILLER MD

Original Issue Date

06/21/1982

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017