JOHN CHARLES MILLARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004227

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

CHARLES

Last Name

MILLARD

Business Name

JOHN CHARLES MILLARD

Original Issue Date

10/25/2011

Effective Date

10/25/2011

Expiration Date

03/01/2012

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/11/2012