DIANE A MILLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000509

License Status

NOT RENEWED

Business

First Name

DIANE A

Last Name

MILLER

Business Name

DIANE A MILLER

Original Issue Date

07/24/1961

Effective Date

07/24/1961

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005