ALEXA RAE MILLER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

ALEXA

Middle

RAE

Last Name

MILLER

Business Name

ALEXA RAE MILLER DO

Original Issue Date

01/02/2020

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61790

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023