TOM J MILLER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

TOM J

Last Name

MILLER

Business Name

TOM J MILLER

Original Issue Date

08/31/1984

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024