CLYDE EDWARD MILLER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014111

License Status

INACTIVE

Business

First Name

CLYDE EDWARD

Last Name

MILLER

Suffix

DDS

Business Name

CLYDE EDWARD MILLER DDS

Original Issue Date

07/08/1971

Effective Date

09/17/2012

Expiration Date

09/30/2015

City

SCOTTSDALE

State

Zip

85260

County

ARIZONA

Ever Disciplined

LastModifiedDate

06/08/2015