THERESA KENNA MILLER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027549

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

KENNA

Last Name

MILLER

Suffix

DMD

Business Name

THERESA KENNA MILLER DMD

Original Issue Date

12/14/2007

Effective Date

08/08/2012

Expiration Date

09/30/2015

City

VINE GROVE

State

Zip

40175

County

KENTUCKY

Ever Disciplined

LastModifiedDate

02/08/2016