EDWARD MARK MILLER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013648

License Status

INACTIVE

Business

Title

DDS

First Name

EDWARD

Middle

MARK

Last Name

MILLER

Business Name

EDWARD MARK MILLER DDS

Original Issue Date

07/14/1969

Effective Date

06/10/2009

Expiration Date

09/30/2012

City

GREENSBORO

State

Zip

27405

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

06/06/2012