LATOYA FABRE MILLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

ACTIVE

Business

First Name

LATOYA

Middle

FABRE

Last Name

MILLER

Business Name

LATOYA FABRE MILLER

Original Issue Date

12/17/2014

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

OAK PARK

State

Zip

60301

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025