CONRAD MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053692

License Status

NOT RENEWED

Business

First Name

CONRAD

Last Name

MILLER

Suffix

Business Name

CONRAD MILLER MD

Original Issue Date

09/17/1976

Effective Date

09/17/1976

Expiration Date

07/31/1987

City

SOUTHAMPTON

State

Zip

11968

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006