MARK ARTHUR MILLEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ARTHUR

Last Name

MILLEMAN

Suffix

Business Name

MARK ARTHUR MILLEMAN MD

Original Issue Date

05/24/2005

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021