RENAL RIVERA MILLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

NOT RENEWED

Business

First Name

RENAL

Middle

RIVERA

Last Name

MILLER

Business Name

RENAL RIVERA MILLER

Original Issue Date

09/02/2015

Effective Date

03/29/2016

Expiration Date

05/31/2018

City

PINGREE GROVE

State

Zip

60140

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/19/2018