LUANN BERYL MILLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

NOT RENEWED

Business

First Name

LUANN

Middle

BERYL

Last Name

MILLER

Business Name

LUANN BERYL MILLER

Original Issue Date

06/07/2021

Effective Date

07/14/2022

Expiration Date

06/30/2024

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025