MICHAEL E MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003036

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MILLER

Business Name

MICHAEL E MILLER

Original Issue Date

09/10/2007

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

11/24/2020