DAVID W MILLER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****41

License Status

NOT RENEWED

Business

Title

First Name

DAVID W

Last Name

MILLER

Business Name

DAVID W MILLER OD

Original Issue Date

12/31/2015

Effective Date

02/24/2016

Expiration Date

03/31/2018

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018