TYLER CHARLES MILLER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

CHARLES

Last Name

MILLER

Business Name

TYLER CHARLES MILLER

Original Issue Date

06/19/2019

Effective Date

06/19/2019

Expiration Date

09/30/2020

City

SCHERERVILLE

State

Zip

46375

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021