JEAN FAIR MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

JEAN FAIR

Last Name

MILLER

Suffix

Business Name

JEAN FAIR MILLER MD

Original Issue Date

08/27/1996

Effective Date

08/27/1996

Expiration Date

07/31/1999

City

CLAY CITY

State

Zip

62824

County

CLAY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006