SEAN MICHAEL MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005480

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

MICHAEL

Last Name

MILLER

Business Name

SEAN MICHAEL MILLER

Original Issue Date

06/12/2015

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

MANCHESTER

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/10/2018