RITA G PATEL - MILLER DDS - Dentist License in Illinois

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

RITA

Middle

Last Name

PATEL - MILLER

Suffix

DDS

Business Name

RITA G PATEL - MILLER DDS

Original Issue Date

06/30/2009

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016