PHILIP KENT MILLER
Idaho PA-551 Canceled
This Idaho license was held by PHILIP KENT MILLER. The license is no longer active. It was granted on 03/29/2005 and expired on 07/31/2010
LICENSE DETAILS
- License Number: PA-551
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/29/2005 (about 19 years ago)
- Expiry Date: 07/31/2010 (almost 14 years ago)
LOCATIONS
A Residential
1011 PROVIDENCE DR LAWRENCEVILLE GA 30044