BRYCE LANE MILLER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

Title

DMD

First Name

BRYCE

Middle

LANE

Last Name

MILLER

Business Name

BRYCE LANE MILLER DMD

Original Issue Date

07/08/2014

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2024