PAULA C MILLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

Last Name

MILLER

Business Name

PAULA C MILLER

Original Issue Date

09/15/2014

Effective Date

03/11/2018

Expiration Date

09/30/2020

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021