LEILA MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004036

License Status

NOT RENEWED

Business

First Name

LEILA

Last Name

MILLER

Business Name

LEILA MILLER

Original Issue Date

05/31/2011

Effective Date

01/31/2012

Expiration Date

03/01/2014

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

04/08/2014