TIMOTHY P MILLEA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019569

License Status

EXPIRED

Business

First Name

TIMOTHY P

Last Name

MILLEA

Suffix

Business Name

TIMOTHY P MILLEA MD

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

07/01/1989

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006