JENNIFER LYNNE MILLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

LYNNE

Last Name

MILLER

Business Name

JENNIFER LYNNE MILLER

Original Issue Date

08/22/2011

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2026