FREDERICK HOWARD MILLER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002837

License Status

NOT RENEWED

Business

First Name

FREDERICK HOWARD

Last Name

MILLER

Business Name

FREDERICK HOWARD MILLER

Original Issue Date

07/11/1975

Effective Date

01/02/2019

Expiration Date

01/31/2021

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021