KRISTIN M MILLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102830

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

MILLIN

Suffix

Business Name

KRISTIN M MILLIN MD

Original Issue Date

06/26/2000

Effective Date

06/26/2000

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006