JOHN D MILLER DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026265

License Status

INACTIVE

Business

First Name

JOHN

Middle

Last Name

MILLER

Suffix

DMD

Business Name

JOHN D MILLER DMD

Original Issue Date

09/17/2003

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/04/2009