ANNE WOODWARD MILLER DMD - Dentist License in Illinois | # 018001457

ANNE WOODWARD MILLER DMD

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001457

License Status

EXPIRED

Business

N

First Name

ANNE

Middle

WOODWARD

Last Name

MILLER

Suffix

DMD

Business Name

ANNE WOODWARD MILLER DMD

Original Issue Date

06/15/2004

Effective Date

06/15/2004

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005