GARY STUART MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129283

License Status

NOT RENEWED

Business

Title

First Name

GARY

Middle

STUART

Last Name

MILLER

Business Name

GARY STUART MILLER MD

Original Issue Date

11/28/2011

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

STATEN ISLAND

State

Zip

10308

Ever Disciplined

LastModifiedDate

01/14/2021