MYRANDA ANNE WHITMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

ACTIVE

Business

First Name

MYRANDA

Middle

ANNE

Last Name

WHITMAN

Business Name

MYRANDA ANNE WHITMAN

Original Issue Date

02/07/2022

Effective Date

06/27/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026