MATTHEW J MILLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

MILLER

Business Name

MATTHEW J MILLER

Original Issue Date

07/29/2021

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

PADUCAH

State

Zip

42003

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026