KEVIN B MILLER DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

KEVIN B

Last Name

MILLER

Suffix

DPM

Business Name

KEVIN B MILLER DPM

Original Issue Date

09/22/1993

Effective Date

09/22/1993

Expiration Date

01/31/1997

City

GENESEO

State

Zip

61254

County

HENRY

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/25/2006