SCOTT AARON MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002600

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

AARON

Last Name

MILLER

Business Name

SCOTT AARON MILLER

Original Issue Date

09/29/2005

Effective Date

09/29/2005

Expiration Date

03/01/2008

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/23/2008