SUSAN EILEEN MCMILLAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

EILEEN

Last Name

MCMILLAN

Business Name

SUSAN EILEEN MCMILLAN

Original Issue Date

03/19/2015

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

NORTHBROOK

State

Zip

60062

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021