NORMAN STEPHEN MILLIAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049933

License Status

CANCELLED

Business

Title

First Name

NORMAN

Middle

STEPHEN

Last Name

MILLIAN

Business Name

NORMAN STEPHEN MILLIAN MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/07/2009