GAYLEN ROY MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014361

License Status

NOT RENEWED

Business

First Name

GAYLEN

Middle

ROY

Last Name

MILLER

Suffix

DDS

Business Name

GAYLEN ROY MILLER DDS

Original Issue Date

07/12/1972

Effective Date

07/12/1972

Expiration Date

09/30/2002

City

LAKEWOOD

State

Zip

80235

County

COLORADO

Ever Disciplined

LastModifiedDate

10/17/2005