M DIETRA DELAPLA MILLARD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057096

License Status

ACTIVE

Business

First Name

M DIETRA DELAPLA

Last Name

MILLARD

Business Name

M DIETRA DELAPLA MILLARD

Original Issue Date

07/24/1978

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

08/01/2023