NICOLE ANN MILLER - Physician Assistant License in Illinois | # 085002642

NICOLE ANN MILLER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002642

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

ANN

Last Name

MILLER

Business Name

NICOLE ANN MILLER

Original Issue Date

10/25/2005

Effective Date

01/08/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012