ROBERT GLENN MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

ROBERT GLENN

Last Name

MILLER

Suffix

DDS

Business Name

ROBERT GLENN MILLER DDS

Original Issue Date

06/10/1988

Effective Date

06/10/1988

Expiration Date

09/30/1990

City

ERIE

State

Zip

61250

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005