Miranda L Boeckman

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085005407

Status

Expired (Not Renewed)

First issued

February 11, 2015

Expired

March 1, 2018

License holder

Miranda L Boeckman

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/17/2016

Other Illinois licenses under this name

• IL
  Miranda L Boeckman

  License 38*****22

  Physician Assistant Controlled Substance
  Expired

  Belleville, IL

  Expired Mar 1, 2018

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