DESIREE Y MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

NOT RENEWED

Business

First Name

DESIREE

Middle

Last Name

MILLER

Business Name

DESIREE Y MILLER

Original Issue Date

02/19/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/21/2010