GLENN D MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

GLENN D

Last Name

MILLER

Suffix

Business Name

GLENN D MILLER MD

Original Issue Date

10/26/1984

Effective Date

08/21/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023