MICHELLE KATHLEEN MILLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

KATHLEEN

Last Name

MILLER

Business Name

MICHELLE KATHLEEN MILLER

Original Issue Date

11/27/2018

Effective Date

05/14/2020

Expiration Date

08/31/2022

City

PARIS

State

Zip

61944

County

EDGAR

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022