PHILIP ANTHONY MILLER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

Title

DMD

First Name

PHILIP

Middle

ANTHONY

Last Name

MILLER

Business Name

PHILIP ANTHONY MILLER DMD

Original Issue Date

07/08/2010

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

COLUMBIA

State

Zip

62236

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2024