MATTHEW JASON MILLIGAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000831

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

JASON

Last Name

MILLIGAN

Suffix

DMD

Business Name

MATTHEW JASON MILLIGAN DMD

Original Issue Date

01/05/2012

Effective Date

01/05/2012

Expiration Date

09/30/2012

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

11/14/2012