JUSTIN MICHAEL MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003384

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

MICHAEL

Last Name

MILLER

Business Name

JUSTIN MICHAEL MILLER

Original Issue Date

11/07/2008

Effective Date

11/07/2008

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

04/01/2010