LISA A MILLSAP Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

MILLSAP

Business Name

LISA A MILLSAP

Original Issue Date

06/15/2004

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026