RALPH D MILLSAPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

RALPH D

Last Name

MILLSAPS

Suffix

Business Name

RALPH D MILLSAPS MD

Original Issue Date

03/25/1992

Effective Date

03/25/1992

Expiration Date

07/31/2008

City

ELDORADO

State

Zip

62930

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008