PAUL MICHAEL MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

MICHAEL

Last Name

MILLER

Suffix

DDS

Business Name

PAUL MICHAEL MILLER DDS

Original Issue Date

07/20/2009

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016