TARIA S MILES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022113

License Status

ACTIVE

Business

First Name

TARIA

Middle

Last Name

MILES

Business Name

TARIA S MILES

Original Issue Date

09/29/2020

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

SOUTH HOLLAND

State

Zip

60473

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026