KEVIN B MILLER
Physician/surgeon


Address: 7410 Wellington Way, Clayton, MO 63105

KEVIN B MILLER (Credential# 545141) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 15, 1994. The license expiration date date is January 31, 1996. The license status is INACTIVE.

Business Overview

KEVIN B MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024722. The credential type is physician/surgeon. The effective date is December 15, 1994. The expiration date is January 31, 1996. The business address is 7410 Wellington Way, Clayton, MO 63105. The current status is inactive.

Basic Information

Licensee Name KEVIN B MILLER
Credential ID 545141
Credential Number 1.024722
Credential Type Physician/Surgeon
Business Address 7410 Wellington Way
Clayton
MO 63105
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1983-07-01
Effective Date 1994-12-15
Expiration Date 1996-01-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
147122 CSP.0012436 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-12-21 - 1996-01-01 INACTIVE

Office Location

Street Address 7410 WELLINGTON WAY
City CLAYTON
State MO
Zip Code 63105

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Marla S Mondschein 7410 Wellington Way, Clayton, MO 63105 Physician/surgeon 1996-05-03 ~ 1997-05-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Lilian V Smith 6515 Wydown Blvd, Clayton, MO 63105 Emergency Medical Responder 2017-01-27 ~ 2019-09-30
Summersalt, Inc. 201 S. Central Avenue, Saint Louis, MO 63105 Securities - Exemptions 2020-01-21 ~
John Mueller 6326 S Rosebud Ave #2, Saint Louis, MO 63105 Architect 2019-12-03 ~ 2020-07-31
Carl Aschkenasi 426 Carswold Dr., St Louis, MO 63105 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Kyle R Vanstone 8025 Bonhomme Ave Apt 2002, Clayton, MO 63105 Physician/surgeon 2014-11-01 ~ 2015-10-31
Booker Associates Inc 6459 Wydown Blvd, St Louis, MO 63105 Professional Engineer 1988-01-25 ~ 1989-01-31
Timothy M. Kennedy One N. Brentwood, St. Louis, MO 63105 Certified Public Accountant Certificate ~
Mark Paradis Rubinbrown LLP, St. Louis, MO 63105 Certified Public Accountant Certificate ~
Christina L. Jenkins One N. Brentwood Blvd, St. Louis, MO 63105 Certified Public Accountant Certificate ~
Deborah Maguire 103 Linden, Clayton, MO 63105 Registered Nurse 1981-01-01 ~ 1993-05-31
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Competitor

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City CLAYTON
Zip Code 63105
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CLAYTON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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