JENA NICOLE MILLS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066603

License Status

EXPIRED

Business

Title

First Name

JENA

Middle

NICOLE

Last Name

MILLS

Business Name

JENA NICOLE MILLS MD

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

06/24/2016

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/16/2016