MALISSA A MILLER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

INACTIVE

Business

First Name

MALISSA

Middle

Last Name

MILLER

Business Name

MALISSA A MILLER

Original Issue Date

03/05/2019

Effective Date

05/25/2022

Expiration Date

05/31/2024

City

MILLSTADT

State

Zip

62260

Ever Disciplined

LastModifiedDate

05/25/2022