MIYEITA G MAGEE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

INACTIVE

Business

First Name

MIYEITA

Middle

Last Name

MAGEE

Business Name

MIYEITA G MAGEE

Original Issue Date

09/26/2019

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2025