AMY MARIE MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001422

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MARIE

Last Name

MILLER

Business Name

AMY MARIE MILLER

Original Issue Date

08/16/2000

Effective Date

08/16/2000

Expiration Date

03/01/2008

City

ALAMO

State

Zip

94507

Ever Disciplined

LastModifiedDate

04/23/2008