KEITH ALLEN MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103000

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

ALLEN

Last Name

MILLER

Suffix

Business Name

KEITH ALLEN MILLER MD

Original Issue Date

07/11/2000

Effective Date

07/11/2000

Expiration Date

07/31/2005

City

LINCOLN

State

Zip

68516

County

NEBRASKA

Ever Disciplined

LastModifiedDate

10/09/2006