ELIZABETH ANN MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

MILLER

Business Name

ELIZABETH ANN MILLER

Original Issue Date

08/26/2010

Effective Date

01/17/2012

Expiration Date

03/01/2014

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

09/29/2015