GLENN ARKELL MILLER DDS 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

GLENN

Middle

ARKELL

Last Name

MILLER

Suffix

DDS

Business Name

GLENN ARKELL MILLER DDS

Original Issue Date

05/26/2004

Effective Date

07/11/2012

Expiration Date

09/30/2015

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016