PATRICIA L A MILLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

L A

Last Name

MILLER

Business Name

PATRICIA L A MILLER

Original Issue Date

10/22/2001

Effective Date

05/18/2022

Expiration Date

06/30/2024

City

GRAND RAPIDS

State

Zip

49505

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026