DAN FENTON MILLARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117174

License Status

NOT RENEWED

Business

First Name

DAN

Middle

FENTON

Last Name

MILLARD

Suffix

Business Name

DAN FENTON MILLARD MD

Original Issue Date

11/14/2006

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

DAPHNE

State

Zip

36526

County

ALABAMA

Ever Disciplined

LastModifiedDate

11/01/2017