LISA ANN MILLER - Physician Assistant License in Illinois | # 085001076

LISA ANN MILLER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001076

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006