GARY T MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

GARY T

Last Name

MILLER

Suffix

Business Name

GARY T MILLER MD

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/31/1993

City

GREEN BAY

State

Zip

54303

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006