MILES MALLICOTE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085012173

License Status

ACTIVE

Business

First Name

MILES

Last Name

MALLICOTE

Business Name

MILES MALLICOTE

Original Issue Date

03/18/2026

Effective Date

03/18/2026

Expiration Date

03/01/2028

City

CHATTANOOGA

State

Zip

37402

Ever Disciplined

LastModifiedDate

03/18/2026