WALTER JOHN MILLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

WALTER JOHN

Last Name

MILLER

Business Name

WALTER JOHN MILLER

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60652

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/13/2005