AMANDA MARIE MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007398

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

MILLER

Business Name

AMANDA MARIE MILLER

Original Issue Date

10/21/2019

Effective Date

01/17/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60657

Ever Disciplined

LastModifiedDate

02/05/2025