COLETTA MARGARET MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

COLETTA

Middle

MARGARET

Last Name

MILLER

Suffix

DDS

Business Name

COLETTA MARGARET MILLER DDS

Original Issue Date

01/01/1998

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

QUINCY

State

Zip

62305

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016