TAMRAH S MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

NOT RENEWED

Business

First Name

TAMRAH S

Last Name

MILLER

Business Name

TAMRAH S MILLER

Original Issue Date

08/10/2001

Effective Date

08/10/2001

Expiration Date

03/01/2006

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/09/2006