MICHELLE ANN MILLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ANN

Last Name

MILLER

Business Name

MICHELLE ANN MILLER

Original Issue Date

08/30/2017

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III V

Ever Disciplined

LastModifiedDate

01/14/2021