DAVID L MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

MILLER

Suffix

Business Name

DAVID L MILLER MD

Original Issue Date

12/30/1981

Effective Date

06/02/2020

Expiration Date

07/31/2023

City

EUREKA

State

Zip

61530

County

WOODFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023