CARLENE MARIE MACMILLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175086

License Status

ACTIVE

Business

Title

First Name

CARLENE

Middle

MARIE

Last Name

MACMILLAN

Business Name

CARLENE MARIE MACMILLAN MD

Original Issue Date

05/22/2025

Effective Date

05/22/2025

Expiration Date

07/31/2026

City

BROOKLYN

State

Zip

11249

Ever Disciplined

LastModifiedDate

06/12/2025