MIRANDA LANGLOSS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

ACTIVE

Business

First Name

MIRANDA

Last Name

LANGLOSS

Business Name

MIRANDA LANGLOSS

Original Issue Date

06/21/2022

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026