BRENDA K MILLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

NOT RENEWED

Business

First Name

BRENDA K

Last Name

MILLER

Business Name

BRENDA K MILLER

Original Issue Date

10/19/2009

Effective Date

05/02/2012

Expiration Date

05/31/2014

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/03/2014