STEPHEN ANDREW MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

Title

DDS

First Name

STEPHEN

Middle

ANDREW

Last Name

MILLER

Business Name

STEPHEN ANDREW MILLER DDS

Original Issue Date

01/01/1998

Effective Date

08/20/2009

Expiration Date

09/30/2012

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/14/2012