MOLLY LAYDEN MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

LAYDEN

Last Name

MILLER

Business Name

MOLLY LAYDEN MILLER

Original Issue Date

04/01/2002

Effective Date

01/24/2020

Expiration Date

03/01/2022

City

DANVILLE

State

Zip

61832

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022