KELLEE ANN MILLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

KELLEE

Middle

ANN

Last Name

MILLER

Business Name

KELLEE ANN MILLER

Original Issue Date

10/21/2014

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022