MAX E MILLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000974

License Status

NOT RENEWED

Business

First Name

MAX

Middle

Last Name

MILLER

Business Name

MAX E MILLER

Original Issue Date

08/21/1996

Effective Date

08/21/1996

Expiration Date

06/30/1999

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005