ALAN MICHAEL MILLER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012633

License Status

INACTIVE

Business

First Name

ALAN MICHAEL

Last Name

MILLER

Suffix

DDS

Business Name

ALAN MICHAEL MILLER DDS

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

09/30/1996

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005