REBECCA AIRGOOD MILLER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

INOPERATIVE

Business

First Name

REBECCA

Middle

AIRGOOD

Last Name

MILLER

Business Name

REBECCA AIRGOOD MILLER

Original Issue Date

10/30/2013

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/02/2018