EDWARD ALLEN MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036022282

License Status

NOT RENEWED

Business

First Name

EDWARD ALLEN

Last Name

MILLER

Suffix

Business Name

EDWARD ALLEN MILLER MD

Original Issue Date

12/01/1937

Effective Date

12/01/1937

City

WATERTOWN

State

Zip

53094

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006