TIM CHARLES MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

TIM CHARLES

Last Name

MILLER

Suffix

Business Name

TIM CHARLES MILLER MD

Original Issue Date

01/01/1997

Effective Date

04/19/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021