TERESA L MILLER 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

TERESA

Middle

Last Name

MILLER

Business Name

TERESA L MILLER

Original Issue Date

02/19/2022

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026