EDWARD R MILLER JR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

First Name

EDWARD

Middle

Last Name

MILLER

Suffix

JR DMD

Business Name

EDWARD R MILLER JR DMD

Original Issue Date

07/08/2003

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

VANDALIA

State

Zip

62471

County

FAYETTE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/27/2024