KRISTEN NELSON MCMILLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150029

License Status

ACTIVE

Business

Title

First Name

KRISTEN

Middle

NELSON

Last Name

MCMILLAN

Business Name

KRISTEN NELSON MCMILLAN MD

Original Issue Date

06/28/2019

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

VALPARAISO

State

Zip

46383

Ever Disciplined

LastModifiedDate

07/25/2023