BRENT WILLIAM MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

BRENT

Middle

WILLIAM

Last Name

MILLER

Business Name

BRENT WILLIAM MILLER MD

Original Issue Date

07/03/2012

Effective Date

07/03/2012

Expiration Date

07/31/2014

City

ST LOUIS

State

Zip

63105

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020