MELANIE MILLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

MELANIE

Last Name

MILLER

Business Name

MELANIE MILLER

Original Issue Date

03/28/2022

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

PEKIN

State

Zip

61554

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026