MELISSA NICOLE MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

NICOLE

Last Name

MILLER

Business Name

MELISSA NICOLE MILLER

Original Issue Date

10/04/2010

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018