BRIAN DOUGLAS MCMILLEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057121

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

DOUGLAS

Last Name

MCMILLEN

Business Name

BRIAN DOUGLAS MCMILLEN MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

10/07/2013