KATHLEEN A MILLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007192

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

MILLER

Business Name

KATHLEEN A MILLER

Original Issue Date

07/19/1990

Effective Date

06/26/2018

Expiration Date

01/31/2022

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/09/2022