JENNIFER DAWN MILLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008945

License Status

NOT RENEWED

Business

First Name

JENNIFER DAWN

Last Name

MILLER

Business Name

JENNIFER DAWN MILLER

Original Issue Date

06/20/1997

Effective Date

08/09/2012

Expiration Date

09/30/2015

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

04/25/2016