SHANNON MILLER - Physician Assistant License in Illinois | # 085001664

SHANNON MILLER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001664

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Last Name

MILLER

Business Name

SHANNON MILLER

Original Issue Date

11/01/2001

Effective Date

12/24/2019

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022