KIM L MILLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

KIM L

Last Name

MILLER

Business Name

KIM L MILLER

Original Issue Date

09/15/2003

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

DANVILLE

State

Zip

61832

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026