ANTOINETTE M MILLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

ACTIVE

Business

First Name

ANTOINETTE

Middle

Last Name

MILLER

Business Name

ANTOINETTE M MILLER

Original Issue Date

12/29/2017

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

03/09/2026