CORRIN E MIRANDA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

CORRIN

Middle

Last Name

MIRANDA

Business Name

CORRIN E MIRANDA

Original Issue Date

05/05/2017

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026