KIMBERLY ILENE MILLS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000381

License Status

EXPIRED

Business

Title

First Name

KIMBERLY

Middle

ILENE

Last Name

MILLS

Business Name

KIMBERLY ILENE MILLS MD

Original Issue Date

02/01/2012

Effective Date

02/01/2012

Expiration Date

07/31/2012

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2012