MATTHEW DERRICK MILLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041503043

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

DERRICK

Last Name

MILLER

Business Name

MATTHEW DERRICK MILLER

Original Issue Date

11/23/2020

Effective Date

11/23/2020

Expiration Date

08/31/2022

City

MESA

State

Zip

85212

Ever Disciplined

LastModifiedDate

10/14/2022