MATTHEW JASON MILLIGAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

JASON

Last Name

MILLIGAN

Suffix

DMD

Business Name

MATTHEW JASON MILLIGAN DMD

Original Issue Date

05/20/2009

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012