MARIAH J MIYAT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

INACTIVE

Business

First Name

MARIAH

Middle

Last Name

MIYAT

Business Name

MARIAH J MIYAT

Original Issue Date

10/29/2023

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60647

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/24/2025