KELLI JEAN MILLER Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INOPERATIVE

Business

First Name

KELLI

Middle

JEAN

Last Name

MILLER

Business Name

KELLI JEAN MILLER

Original Issue Date

09/03/2015

Effective Date

05/05/2016

Expiration Date

05/31/2018

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/01/2018