KENNETH BRYCE MILLER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

ACTIVE

Business

First Name

KENNETH BRYCE

Last Name

MILLER

Suffix

DDS

Business Name

KENNETH BRYCE MILLER DDS

Original Issue Date

01/01/1998

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024