MICHELLE M MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097282

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

MILLER

Suffix

Business Name

MICHELLE M MILLER MD

Original Issue Date

02/09/1998

Effective Date

02/09/1998

Expiration Date

07/31/2002

City

RACINE

State

Zip

53402

Ever Disciplined

LastModifiedDate

10/09/2006