PATRICK L MCMILLAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

PATRICK L

Last Name

MCMILLAN

Business Name

PATRICK L MCMILLAN

Original Issue Date

09/15/1995

Effective Date

09/19/2018

Expiration Date

09/30/2018

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018