KELSEY D MILLER - Physician Assistant License in Indiana | # 085007264

KELSEY D MILLER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007264

License Status

NOT RENEWED

Business

N

First Name

KELSEY

Middle

D

Last Name

MILLER

Business Name

KELSEY D MILLER

Original Issue Date

09/11/2019

Effective Date

09/11/2019

Expiration Date

03/01/2020

State

IN

Ever Disciplined

N

LastModifiedDate

11/24/2020