DESIREE Y MILLER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001695

License Status

INACTIVE

Business

First Name

DESIREE

Middle

Last Name

MILLER

Business Name

DESIREE Y MILLER

Original Issue Date

11/08/2001

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

PORT CHARLOTTE

State

Zip

33948

Ever Disciplined

LastModifiedDate

01/21/2010