MILAM ALLISON BRANTLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109336

License Status

NOT RENEWED

Business

First Name

MILAM

Middle

ALLISON

Last Name

BRANTLEY

Suffix

Business Name

MILAM ALLISON BRANTLEY MD

Original Issue Date

05/28/2003

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/14/2011