MARJORIE M MILLER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

INACTIVE

Business

First Name

MARJORIE M

Last Name

MILLER

Suffix

DDS

Business Name

MARJORIE M MILLER DDS

Original Issue Date

06/23/1982

Effective Date

06/24/2015

Expiration Date

09/30/2018

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2018