ALYSSA MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007545

License Status

NOT RENEWED

Business

First Name

ALYSSA

Last Name

MILLER

Business Name

ALYSSA MILLER

Original Issue Date

02/07/2020

Effective Date

02/07/2020

Expiration Date

03/01/2022

City

GRAND RAPIDS

State

Zip

49503

Ever Disciplined

LastModifiedDate

07/27/2022