Miranda L Boeckman
ExpiredIllinois license 38*****22
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****22
- Status
- Expired (Inoperative)
- First issued
- March 10, 2015
- Expired
- March 1, 2018
- License holder
- Miranda L Boeckman
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 02/17/2016
Other Illinois licenses under this name
-
IL
ExpiredBreda, IAExpired Mar 1, 2018
Contact
Belleville, IL 62226
Saint Clair County