EARL WILLIAM MILLER JR DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

INOPERATIVE

Business

First Name

EARL WILLIAM

Last Name

MILLER JR

Suffix

DDS

Business Name

EARL WILLIAM MILLER JR DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005