NEIL THOMAS MILLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

NEIL THOMAS

Last Name

MILLER

Suffix

DDS

Business Name

NEIL THOMAS MILLER DDS

Original Issue Date

11/21/1997

Effective Date

11/21/1997

Expiration Date

09/30/2000

City

BURLINGTON

State

Zip

53105

County

WISCONSIN

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005