DREW DENNIS MILLER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

DREW

Middle

DENNIS

Last Name

MILLER

Business Name

DREW DENNIS MILLER

Original Issue Date

06/07/2017

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

CAMP POINT

State

Zip

62320

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024