DONNA C MILLER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002428

License Status

NOT RENEWED

Business

First Name

DONNA C

Last Name

MILLER

Business Name

DONNA C MILLER

Original Issue Date

12/14/1996

Expiration Date

12/13/1997

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/31/2005