JENNIFER RAE MILLER Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

RAE

Last Name

MILLER

Business Name

JENNIFER RAE MILLER

Original Issue Date

05/22/2013

Effective Date

12/17/2024

Expiration Date

01/31/2027

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025