PATRICK DAVID MILLER DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025573

License Status

INACTIVE

Business

First Name

PATRICK

Middle

DAVID

Last Name

MILLER

Suffix

DMD

Business Name

PATRICK DAVID MILLER DMD

Original Issue Date

06/28/2001

Effective Date

09/05/2018

Expiration Date

01/31/2022

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

01/04/2022