BROOKE A MILLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

ACTIVE

Business

First Name

BROOKE

Middle

Last Name

MILLER

Business Name

BROOKE A MILLER

Original Issue Date

11/01/2006

Effective Date

02/08/2024

Expiration Date

03/01/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025