AMY LEEANN MILLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

AMY

Middle

LEEANN

Last Name

MILLER

Business Name

AMY LEEANN MILLER

Original Issue Date

04/20/2023

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026