DONALD A MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

DONALD A

Last Name

MILLER

Suffix

DDS

Business Name

DONALD A MILLER DDS

Original Issue Date

12/10/2003

Effective Date

10/12/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/09/2022