TARA L MCMILLAN 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

TARA

Middle

Last Name

MCMILLAN

Business Name

TARA L MCMILLAN

Original Issue Date

02/29/2016

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2018