SIDNEY MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008815

License Status

NOT RENEWED

Business

First Name

SIDNEY

Last Name

MILLER

Business Name

SIDNEY MILLER

Original Issue Date

01/14/2022

Effective Date

01/14/2022

Expiration Date

03/01/2024

City

INDIANOLA

State

Zip

50125

Ever Disciplined

LastModifiedDate

10/31/2025