KELLY N MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

Title

DDS

First Name

KELLY

Middle

Last Name

MILLER

Business Name

KELLY N MILLER DDS

Original Issue Date

09/24/2013

Effective Date

09/24/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016