DOUGLAS RICHARD MACMILLAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017077

License Status

NOT RENEWED

Business

First Name

DOUGLAS RICHARD

Last Name

MACMILLAN

Suffix

DDS

Business Name

DOUGLAS RICHARD MACMILLAN DDS

Original Issue Date

02/22/1980

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2010