DANIEL PHILLIP MILLER Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000765

License Status

CANCELLED

Business

First Name

DANIEL

Middle

PHILLIP

Last Name

MILLER

Business Name

DANIEL PHILLIP MILLER

Original Issue Date

06/06/2012

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

03/13/2015