MIRANDA M MCMAHAN 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

MIRANDA

Middle

Last Name

MCMAHAN

Business Name

MIRANDA M MCMAHAN

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

05/31/2026

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026