ALLEN L MILLARD III Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020056

License Status

EXPIRED

Business

First Name

ALLEN

Middle

Last Name

MILLARD III

Business Name

ALLEN L MILLARD III

Original Issue Date

07/08/1986

Effective Date

07/08/1986

Expiration Date

07/01/1989

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006