DONALD A MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000061

License Status

NOT RENEWED

Business

First Name

DONALD A

Last Name

MILLER

Business Name

DONALD A MILLER

Original Issue Date

11/21/1978

Effective Date

11/21/1978

Expiration Date

11/21/1980

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006