AMY MARIE MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MARIE

Last Name

MILLER

Business Name

AMY MARIE MILLER

Original Issue Date

03/22/2001

Effective Date

03/22/2001

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/09/2007