GERALD LEE MILLER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042906

License Status

NOT RENEWED

Business

First Name

GERALD LEE

Last Name

MILLER JR

Suffix

Business Name

GERALD LEE MILLER JR MD

Original Issue Date

09/16/1969

Effective Date

09/16/1969

City

KANSAS CITY

State

Zip

64112

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006