KIMBERLY PORAPAIBOON MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001298

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

PORAPAIBOON

Last Name

MILLER

Suffix

DDS

Business Name

KIMBERLY PORAPAIBOON MILLER DDS

Original Issue Date

08/17/2001

Effective Date

08/17/2001

Expiration Date

06/30/2002

City

GLENVIEW

State

Zip

60025

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005