MIRANDA GRACE FOOTE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

GRACE

Last Name

FOOTE

Business Name

MIRANDA GRACE FOOTE

Original Issue Date

08/22/2017

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026