Leo R Miller Physician/surgeon
268 Hillspoint Rd, Westport, CT 06880


Leo R Miller is licensed in the eLicensing system of Connecticut. The license credential ID is 541561. The license type is Physician/Surgeon. The license status is INACTIVE. The address is 268 Hillspoint Rd, Westport, CT 06880. The zip code is 06880.


Leo R Miller · 268 Hillspoint Rd, Westport, CT 06880

Credential ID 541561
Name LEO R MILLER
Type INDIVIDUAL
Address 268 HILLSPOINT RD
WESTPORT, CT 06880
License Credential Physician/Surgeon
Full Credential Code 1.015610
Credential Type 1
Credential Number 15610
Status INACTIVE
Status Reason LAPSED DUE TO NON-RENEWAL
Issue Date 10/05/1972
Effective Date 02/08/1996
Expiration Date 03/31/1997
Record Refresh Date 07/08/2009

Zip 06880 · Physician/surgeon · Connecticut Business

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