DENISE RENEE MILLER Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002918

License Status

CANCELLED

Business

First Name

DENISE

Middle

RENEE

Last Name

MILLER

Business Name

DENISE RENEE MILLER

Original Issue Date

12/12/2002

Effective Date

12/12/2002

Expiration Date

12/12/2003

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

05/31/2005