DAVID R MILLER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

First Name

DAVID R

Last Name

MILLER

Business Name

DAVID R MILLER

Original Issue Date

08/01/1983

Effective Date

05/23/2024

Expiration Date

09/30/2027

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2024