MARY SUSAN MCMILLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092902

License Status

NOT RENEWED

Business

First Name

MARY SUSAN

Last Name

MCMILLAN

Suffix

Business Name

MARY SUSAN MCMILLAN MD

Original Issue Date

05/24/1996

Effective Date

05/24/1996

Expiration Date

07/31/1999

City

MINNEAPOLIS

State

Zip

55408

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006