LISA ANN MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001076

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

MILLER

Business Name

LISA ANN MILLER

Original Issue Date

08/05/1998

Effective Date

08/05/1998

Expiration Date

03/01/2000

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006