REBECCA AIRGOOD MILLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004686

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

AIRGOOD

Last Name

MILLER

Business Name

REBECCA AIRGOOD MILLER

Original Issue Date

06/13/2013

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

KANE

State

Zip

16735

Ever Disciplined

LastModifiedDate

05/10/2018