MILOSLAVA M MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

Title

DDS

First Name

MILOSLAVA

Middle

Last Name

MILLER

Business Name

MILOSLAVA M MILLER DDS

Original Issue Date

11/04/2009

Effective Date

11/04/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/14/2012