DANIEL PHILLIP MILLER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

PHILLIP

Last Name

MILLER

Business Name

DANIEL PHILLIP MILLER

Original Issue Date

06/17/2014

Effective Date

11/21/2014

Expiration Date

01/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/27/2017