DANIELLE NICOLE MILLER - Physician Assistant License in Illinois | # 085004152

DANIELLE NICOLE MILLER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004152

License Status

NOT RENEWED

Business

N

First Name

DANIELLE

Middle

NICOLE

Last Name

MILLER

Business Name

DANIELLE NICOLE MILLER

Original Issue Date

09/23/2011

Effective Date

12/28/2011

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2015