MOLLY R MILLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

ACTIVE

Business

First Name

MOLLY

Middle

Last Name

MILLER

Business Name

MOLLY R MILLER

Original Issue Date

02/06/2024

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026