MARY SUSAN MCMILLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

MARY SUSAN

Last Name

MCMILLAN

Suffix

Business Name

MARY SUSAN MCMILLAN MD

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006