KIRK MILLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

ACTIVE

Business

First Name

KIRK

Last Name

MILLER

Business Name

KIRK MILLER

Original Issue Date

02/27/2019

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026