DONALD THEODORE MILLER JR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017769

License Status

NOT RENEWED

Business

First Name

DONALD THEODORE

Last Name

MILLER JR

Suffix

DMD

Business Name

DONALD THEODORE MILLER JR DMD

Original Issue Date

07/21/1981

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

GENOA

State

Zip

60135

County

DEKALB

Ever Disciplined

LastModifiedDate

02/08/2016