ANTHONY MILES ARCHER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

MILES

Last Name

ARCHER

Business Name

ANTHONY MILES ARCHER DO

Original Issue Date

11/05/2013

Effective Date

11/05/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014