MARILYN J MILLER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003058

License Status

NOT RENEWED

Business

First Name

MARILYN

Middle

Last Name

MILLER

Business Name

MARILYN J MILLER

Original Issue Date

12/14/2004

Effective Date

12/14/2004

Expiration Date

12/14/2005

City

ENERGY

State

Zip

62933

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/31/2005