THOMAS L MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

THOMAS L

Last Name

MILLER

Suffix

Business Name

THOMAS L MILLER MD

Original Issue Date

07/20/1983

Effective Date

07/20/1983

Expiration Date

07/31/2008

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017