HEIDI K MILLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

ACTIVE

Business

First Name

HEIDI

Middle

Last Name

MILLER

Business Name

HEIDI K MILLER

Original Issue Date

11/13/2020

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026