DOREEN E MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

DOREEN E

Last Name

MILLER

Suffix

Business Name

DOREEN E MILLER MD

Original Issue Date

12/17/1985

Effective Date

12/17/1985

Expiration Date

07/31/1987

City

HANNA CITY

State

Zip

61536

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006