MEAGAN MARY MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003631

License Status

NOT RENEWED

Business

First Name

MEAGAN

Middle

MARY

Last Name

MILLER

Business Name

MEAGAN MARY MILLER

Original Issue Date

10/05/2009

Effective Date

10/05/2009

Expiration Date

03/01/2010

City

EAST AMHERST

State

Zip

14051

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/01/2010