DONALD A MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

DONALD A

Last Name

MILLER

Suffix

DDS

Business Name

DONALD A MILLER DDS

Original Issue Date

06/15/1988

Effective Date

06/15/1988

Expiration Date

09/30/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005