FREDERICK HOWARD MILLER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

FREDERICK HOWARD

Last Name

MILLER

Business Name

FREDERICK HOWARD MILLER

Original Issue Date

04/10/1985

Effective Date

01/02/2019

Expiration Date

01/31/2021

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021