LEILA MILLER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

INOPERATIVE

Business

First Name

LEILA

Last Name

MILLER

Business Name

LEILA MILLER

Original Issue Date

12/12/2011

Effective Date

12/12/2011

Expiration Date

03/01/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/25/2013