COLETTA MARGARET MILLER DDS - Dentist License in Illinois | # 137000140

COLETTA MARGARET MILLER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000140

License Status

NOT RENEWED

Business

N

First Name

COLETTA

Middle

MARGARET

Last Name

MILLER

Suffix

DDS

Business Name

COLETTA MARGARET MILLER DDS

Original Issue Date

01/01/1998

Effective Date

09/13/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

02/08/2016