DAVID E MILLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

DAVID E

Last Name

MILLER

Business Name

DAVID E MILLER

Original Issue Date

11/21/1988

Effective Date

11/21/1988

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005