ANNE WOODWARD MILLER DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001457

License Status

EXPIRED

Business

First Name

ANNE

Middle

WOODWARD

Last Name

MILLER

Suffix

DMD

Business Name

ANNE WOODWARD MILLER DMD

Original Issue Date

06/15/2004

Effective Date

06/15/2004

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005