REBECCA KATHLEEN MILLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

REBECCA

Middle

KATHLEEN

Last Name

MILLER

Business Name

REBECCA KATHLEEN MILLER

Original Issue Date

03/13/2024

Effective Date

03/02/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026