BRYCE LANE MILLER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029913

License Status

ACTIVE

Business

Title

DMD

First Name

BRYCE

Middle

LANE

Last Name

MILLER

Business Name

BRYCE LANE MILLER DMD

Original Issue Date

07/08/2014

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

09/18/2024