BECKY C MILAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

INACTIVE

Business

First Name

BECKY

Middle

Last Name

MILAN

Business Name

BECKY C MILAN

Original Issue Date

01/03/2011

Effective Date

04/21/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2022