MICHAEL MACMILLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073063

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

MACMILLAN

Suffix

Business Name

MICHAEL MACMILLAN MD

Original Issue Date

07/01/1986

Effective Date

07/01/1986

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006