MARCELLA A MINER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

ACTIVE

Business

First Name

MARCELLA

Middle

Last Name

MINER

Business Name

MARCELLA A MINER

Original Issue Date

12/21/2020

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

GENESEO

State

Zip

61254

County

HENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026