MIRANDA A ALBERT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

Last Name

ALBERT

Suffix

DDS

Business Name

MIRANDA A ALBERT DDS

Original Issue Date

11/02/2006

Effective Date

08/28/2012

Expiration Date

09/30/2015

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016