MATTHEW J MCMILLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

MCMILLIN

Suffix

Business Name

MATTHEW J MCMILLIN MD

Original Issue Date

01/25/2001

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020