ANNEMARIE K MILLER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

CANCELLED

Business

First Name

ANNEMARIE

Middle

Last Name

MILLER

Business Name

ANNEMARIE K MILLER

Original Issue Date

10/07/2005

Effective Date

10/07/2005

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008