NEIL THOMAS MILLER DDS - Dentist License in Wisconsin | # 31*****25

NEIL THOMAS MILLER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

N

First Name

NEIL THOMAS

Last Name

MILLER

Suffix

DDS

Business Name

NEIL THOMAS MILLER DDS

Original Issue Date

11/21/1997

Effective Date

11/21/1997

Expiration Date

09/30/2000

State

WI

Controlled Substance Schedule

II

Ever Disciplined

N

LastModifiedDate

10/17/2005