KELLEE ANN MILLER - Dentist License in Indiana | # 31*****12

KELLEE ANN MILLER

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

N

First Name

KELLEE

Middle

ANN

Last Name

MILLER

Business Name

KELLEE ANN MILLER

Original Issue Date

11/05/2021

Effective Date

11/05/2021

Expiration Date

09/30/2024

State

IN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/04/2025