DANIELLE MILLS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008302

License Status

NOT RENEWED

Business

First Name

DANIELLE

Last Name

MILLS

Business Name

DANIELLE MILLS

Original Issue Date

05/17/2021

Effective Date

05/17/2021

Expiration Date

03/01/2022

City

SPRINGFIELD

State

Zip

65804

Ever Disciplined

LastModifiedDate

07/27/2022