KRISTIN A MILLER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

Last Name

MILLER

Suffix

DMD

Business Name

KRISTIN A MILLER DMD

Original Issue Date

06/10/2004

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2024