THOMAS W MILLER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019400

License Status

ACTIVE

Business

First Name

THOMAS W

Last Name

MILLER

Suffix

DDS

Business Name

THOMAS W MILLER DDS

Original Issue Date

11/02/1984

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/25/2024

Case Number

2021005606

Action

Suspension

Discipline Start Date

10/22/2021

Discipline End Date

12/15/2021

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/16/2021.