MARTHA PETTUS MILLMAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095709

License Status

INACTIVE

Business

First Name

MARTHA PETTUS

Last Name

MILLMAN

Suffix

Business Name

MARTHA PETTUS MILLMAN

Original Issue Date

06/20/1997

Effective Date

06/20/1997

Expiration Date

07/31/1999

City

ROCHESTER

State

Zip

55906

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006