JONATHAN LOUIS MILLER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

LOUIS

Last Name

MILLER

Business Name

JONATHAN LOUIS MILLER

Original Issue Date

04/22/2002

Effective Date

07/21/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023