SUSANNA MIRANDA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

ACTIVE

Business

First Name

SUSANNA

Last Name

MIRANDA

Business Name

SUSANNA MIRANDA

Original Issue Date

09/28/2019

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026