DANIEL ROBERT MILLER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

Title

DMD

First Name

DANIEL

Middle

ROBERT

Last Name

MILLER

Business Name

DANIEL ROBERT MILLER DMD

Original Issue Date

01/19/2024

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024