R KEITH MILLER MD (Credential# 549189) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
R KEITH MILLER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031447. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 3 Rusty Rail Ln, Hilton Head Island, SC 29926-2560. The current status is active.
Licensee Name | R KEITH MILLER MD |
Credential ID | 549189 |
Credential Number | 1.031447 |
Credential Type | Physician/Surgeon |
Business Address |
3 Rusty Rail Ln Hilton Head Island SC 29926-2560 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1991-03-29 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
158775 | CSP.0019056 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
457187 | CSP.0040921 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-12-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 3 RUSTY RAIL LN |
City | HILTON HEAD ISLAND |
State | SC |
Zip Code | 29926-2560 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nancy Devanna Miller | 3 Rusty Rail Lane, Hilton Head Island, SC 29926 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Patricia Marsh | 25 Crosswinds Dr, Hilton Head Island, SC 29926 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Jill Suzanne Conrad | 34 Tansyleaf Dr, Hilton Head Island, SC 29926 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
John J Carreiro | 21 Lenox Lane, Hilton Head Island, SC 29926 | Notary Public Appointment | 2008-04-01 ~ 2013-03-31 |
June B Leclair | 1 King William Court, Hilton Head Island, SC 29926 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Warren S Baudendistel · Ridgefield Realty Group Inc | 50 Myrtle Bank Rd, Hilton Head Island, SC 29926 | Real Estate Salesperson | 2003-06-01 ~ 2004-05-31 |
Nancy B Baldwin | 9 Sailwing Club Dr, Hilton Head Island, SC 29926 | Real Estate Salesperson | 2005-02-01 ~ 2005-05-31 |
Allison L Dwyer | 2 Toppin Drive, Hilton Head Island, SC 29926 | Advanced Practice Registered Nurse | 2015-07-01 ~ 2016-06-30 |
Thomas J. Mccarthy | 15 Marsh Winds, Hilton Head, SC 29926 | Certified Public Accountant License | 1996-01-01 ~ 1996-12-31 |
Sara Remigio | 30 West Morgan Court, Hilton Head Island, SC 29926 | Registered Nurse | 2012-07-01 ~ 2013-06-30 |
Find all Licenses in zip 29926 |
City | HILTON HEAD ISLAND |
Zip Code | 29926 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + HILTON HEAD ISLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Keith Miller Construction LLC | 85 Oakland Dr, Oakdale, CT 06370-1025 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Keith C Boldon Md | Keith Boldon Md, Cheshire, CT 06410 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Keith B Quencer | 198 Edwards St Apt 4, New Haven, CT 06511-3702 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
Keith M Spellman | Po Box 320757, Los Gatos, CA 95032-0112 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
Keith Edwards | 140 Hospital Dr, Bennington, VT 05201 | Physician/surgeon | 1992-07-23 ~ 1993-06-30 |
Keith Ray Hodge Md | 95 Dover Rd, W Hartford, CT 06119 | Physician/surgeon | 2001-03-12 ~ 2002-03-31 |
Keith Gallagher | 11 Bishop St, New Haven, CT 06511-3931 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Keith J Champney | 17 Ewell Ave, Lexington, MA 02421 | Physician/surgeon | 1999-10-14 ~ 2000-08-31 |
Keith A Kaplan | 24 Carriage Dr, Farmington, CT 06032-2704 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Keith A Cauley | 33 Fairview Dr, Farmington, CT 06032-2516 | Physician/surgeon | 2020-01-24 ~ 2020-08-31 |
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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).