SARAH C MIYATA 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

SARAH

Middle

Last Name

MIYATA

Business Name

SARAH C MIYATA

Original Issue Date

12/16/2002

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026