DONALD A MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

DONALD A

Last Name

MILLER

Suffix

DDS

Business Name

DONALD A MILLER DDS

Original Issue Date

10/21/1998

Effective Date

01/11/2007

Expiration Date

09/30/2009

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009