CHRISTA RENEE MILLER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012796

License Status

INACTIVE

Business

First Name

CHRISTA

Middle

RENEE

Last Name

MILLER

Business Name

CHRISTA RENEE MILLER

Original Issue Date

05/28/2009

Effective Date

09/28/2009

Expiration Date

09/30/2012

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

06/06/2012