MICHELLE KATHLEEN MILLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018042

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

KATHLEEN

Last Name

MILLER

Business Name

MICHELLE KATHLEEN MILLER

Original Issue Date

09/07/2018

Effective Date

05/14/2020

Expiration Date

08/31/2022

City

WEST TERRE HAUTE

State

Zip

47885

Ever Disciplined

LastModifiedDate

10/14/2022