CYNTHIA D MILLER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025406

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

MILLER

Suffix

DMD

Business Name

CYNTHIA D MILLER DMD

Original Issue Date

09/15/2000

Effective Date

08/09/2012

Expiration Date

09/30/2015

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/08/2016