MICHAEL E MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MILLER

Business Name

MICHAEL E MILLER

Original Issue Date

11/29/2007

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020