KELLI JEAN MILLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

ACTIVE

Business

First Name

KELLI

Middle

JEAN

Last Name

MILLER

Business Name

KELLI JEAN MILLER

Original Issue Date

02/25/2016

Effective Date

06/03/2024

Expiration Date

05/31/2026

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026