KERMITT CLYDE MILLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010088

License Status

NOT RENEWED

Business

First Name

KERMITT CLYDE

Last Name

MILLER

Business Name

KERMITT CLYDE MILLER

Original Issue Date

08/18/1952

Effective Date

08/18/1952

Expiration Date

09/30/1998

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

10/12/2005