GARY T MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062041

License Status

NOT RENEWED

Business

First Name

GARY T

Last Name

MILLER

Suffix

Business Name

GARY T MILLER MD

Original Issue Date

04/28/1981

Effective Date

04/28/1981

Expiration Date

07/31/2005

City

GREEN BAY

State

Zip

54303

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006