KEVIN B 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

KEVIN B

Last Name

MILLER

Suffix

Business Name

KEVIN B MILLER MD

Original Issue Date

09/09/1981

Effective Date

09/09/1981

Expiration Date

07/31/1984

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006