MICIAH B PATTON 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

MICIAH

Middle

Last Name

PATTON

Business Name

MICIAH B PATTON

Original Issue Date

01/25/2018

Effective Date

06/01/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60652

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026