URSULA IRENE MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

URSULA

Middle

IRENE

Last Name

MILLER

Suffix

Business Name

URSULA IRENE MILLER MD

Original Issue Date

05/18/2004

Effective Date

05/18/2004

Expiration Date

07/31/2008

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008