BENJAMIN JOSHUA MILLER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

JOSHUA

Last Name

MILLER

Suffix

Business Name

BENJAMIN JOSHUA MILLER DO

Original Issue Date

07/22/2010

Effective Date

05/04/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014