ALYSSA D MCMILLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

Last Name

MCMILLEN

Prefix

Business Name

ALYSSA D MCMILLEN

Original Issue Date

01/29/2025

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026