CHRISTINA M MILLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

CHRISTINA

Middle

Last Name

MILLER

Business Name

CHRISTINA M MILLER

Original Issue Date

12/14/2022

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61110

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026