MILTON SALLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

MILTON

Last Name

SALLIS

Suffix

Business Name

MILTON SALLIS MD

Original Issue Date

08/26/2024

Effective Date

08/26/2024

Expiration Date

07/31/2026

City

HIGHLAND

State

Zip

62249

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024