MELISSA NICOLE MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003857

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

NICOLE

Last Name

MILLER

Business Name

MELISSA NICOLE MILLER

Original Issue Date

09/14/2010

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018