MARK M MILLAR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092892

License Status

INACTIVE

Business

First Name

MARK M

Last Name

MILLAR

Suffix

Business Name

MARK M MILLAR MD

Original Issue Date

05/24/1996

Effective Date

05/24/1996

Expiration Date

07/31/2005

City

ADA

State

Zip

49301

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006