License holder summary

PHILIP KENT MILLER is a Board Of Medicine licensed to practice in Idaho. The address on file for PHILIP KENT MILLER is 1011 PROVIDENCE DR LAWRENCEVILLE GA 30044. This licensed professional license is not current. The license was granted 03/29/2005 and expired on 07/31/2010.

Idaho

Division of Occupational and Professional Licenses

PHILIP KENT MILLER
Board Of Medicine
License number
PA-551
Date granted
03/29/2005
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
1011 PROVIDENCE DR LAWRENCEVILLE GA 30044
idaholicensing.com
ID 48358745
LAST UPDATED 2024-05-08 21:21:54 UTC

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