ELIZABETH ANN MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003802

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

MILLER

Business Name

ELIZABETH ANN MILLER

Original Issue Date

07/21/2010

Effective Date

01/17/2012

Expiration Date

03/01/2014

City

MAHTOMEDI

State

Zip

55115

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/29/2015