MIRANDA GRACE HUMES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

GRACE

Last Name

HUMES

Business Name

MIRANDA GRACE HUMES

Original Issue Date

09/05/2025

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026