KYLE RAY MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

KYLE

Middle

RAY

Last Name

MILLER

Business Name

KYLE RAY MILLER MD

Original Issue Date

10/08/2015

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021