BRIAN M MILLER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003332

License Status

EXPIRED

Business

First Name

BRIAN

Middle

Last Name

MILLER

Business Name

BRIAN M MILLER

Original Issue Date

04/24/2008

Effective Date

04/24/2008

Expiration Date

04/24/2009

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018