BRENT WILLIAM MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130732

License Status

ACTIVE

Business

Title

First Name

BRENT

Middle

WILLIAM

Last Name

MILLER

Business Name

BRENT WILLIAM MILLER MD

Original Issue Date

07/03/2012

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

INDIANAPOLIS

State

Zip

46032

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/26/2023