JUSTIN MACMILLAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076402

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Last Name

MACMILLAN

Business Name

JUSTIN MACMILLAN DO

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

06/24/2023

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/04/2020