BRENDA MILES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005194

License Status

NOT RENEWED

Business

First Name

BRENDA

Last Name

MILES

Business Name

BRENDA MILES

Original Issue Date

06/06/1983

Effective Date

08/18/2015

Expiration Date

09/30/2018

City

STILLMAN VALLEY

State

Zip

61084

County

OGLE

Ever Disciplined

LastModifiedDate

10/31/2018