CLYDE EDWARD MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

CLYDE EDWARD

Last Name

MILLER

Suffix

DDS

Business Name

CLYDE EDWARD MILLER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005