STEPHEN ANDREW MILLER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013885

License Status

INACTIVE

Business

Title

DDS

First Name

STEPHEN

Middle

ANDREW

Last Name

MILLER

Business Name

STEPHEN ANDREW MILLER DDS

Original Issue Date

07/07/1970

Effective Date

08/20/2009

Expiration Date

09/30/2012

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

06/06/2012