STACY MILLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003523

License Status

NOT RENEWED

Business

First Name

STACY

Last Name

MILLER

Business Name

STACY MILLER

Original Issue Date

06/20/1978

Effective Date

06/20/1978

Expiration Date

09/30/1996

City

VANCOUVER

State

Zip

98662

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/12/2005