D DOUGLAS MILEY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

First Name

D DOUGLAS

Last Name

MILEY

Business Name

D DOUGLAS MILEY

Original Issue Date

04/17/1985

Effective Date

05/23/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2024