DOUGLAS MICHAEL MILLER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

MICHAEL

Last Name

MILLER

Business Name

DOUGLAS MICHAEL MILLER DO

Original Issue Date

01/06/2015

Effective Date

01/06/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017