BRUCE L MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

BRUCE L

Last Name

MILLER

Suffix

Business Name

BRUCE L MILLER MD

Original Issue Date

06/06/1989

Effective Date

06/06/1989

Expiration Date

07/31/1993

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006