DAVID L MILLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

CANCELLED

Business

First Name

DAVID L

Last Name

MILLER

Suffix

Business Name

DAVID L MILLER MD

Original Issue Date

05/21/1985

Effective Date

05/21/1985

Expiration Date

07/31/1987

City

WASHBUM

State

Zip

61570

County

MARSHALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020