KELSEY D MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007264

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

Last Name

MILLER

Business Name

KELSEY D MILLER

Original Issue Date

09/11/2019

Effective Date

09/11/2019

Expiration Date

03/01/2020

City

MCCORDSVILLE

State

Zip

46055

Ever Disciplined

LastModifiedDate

11/24/2020