SCOTT W MILLIKEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000220

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

MILLIKEN

Business Name

SCOTT W MILLIKEN

Original Issue Date

04/21/1988

Effective Date

04/21/1988

Expiration Date

06/30/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005