TARIA S MILES Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

NOT RENEWED

Business

First Name

TARIA

Middle

Last Name

MILES

Business Name

TARIA S MILES

Original Issue Date

07/20/2021

Effective Date

08/24/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60649

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025