KEVIN BRYAN 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

KEVIN BRYAN

Last Name

MILLER

Suffix

Business Name

KEVIN BRYAN MILLER MD

Original Issue Date

07/26/2000

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014