CHRISTOPHER MICHAEL MILES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

CANCELLED

Business

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

MILES

Suffix

Business Name

CHRISTOPHER MICHAEL MILES MD

Original Issue Date

08/14/2007

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014