ANGELA MARIE MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

MARIE

Last Name

MILLER

Suffix

DDS

Business Name

ANGELA MARIE MILLER DDS

Original Issue Date

08/26/2002

Effective Date

08/26/2002

Expiration Date

09/30/2004

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005