AMBER A MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

Title

DDS

First Name

AMBER

Middle

Last Name

MILLER

Business Name

AMBER A MILLER DDS

Original Issue Date

05/24/2019

Effective Date

05/24/2019

Expiration Date

01/31/2022

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022