SAMANTHA MILLER JEFFERY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

Title

DMD

First Name

SAMANTHA

Middle

MILLER

Last Name

JEFFERY

Business Name

SAMANTHA MILLER JEFFERY DMD

Original Issue Date

06/07/2016

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022