JEFFREY W MILLER DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

Title

DPM

First Name

JEFFREY W

Last Name

MILLER

Business Name

JEFFREY W MILLER DPM

Original Issue Date

07/24/1984

Effective Date

03/15/2019

Expiration Date

01/31/2021

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021