MARISA LEE MILLIGAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

Title

DMD

First Name

MARISA

Middle

LEE

Last Name

MILLIGAN

Business Name

MARISA LEE MILLIGAN DMD

Original Issue Date

07/15/2015

Effective Date

06/10/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2024