LAURA BETH MILLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

BETH

Last Name

MILLER

Business Name

LAURA BETH MILLER

Original Issue Date

01/25/2019

Effective Date

01/25/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021