COLETTA MARGARET MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000140

License Status

NOT RENEWED

Business

First Name

COLETTA

Middle

MARGARET

Last Name

MILLER

Suffix

DDS

Business Name

COLETTA MARGARET MILLER DDS

Original Issue Date

01/01/1998

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

02/08/2016