MARY T MILLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041056543

License Status

INACTIVE

Business

First Name

MARY T

Last Name

MILLER

Business Name

MARY T MILLER

Original Issue Date

01/09/1947

Effective Date

01/09/1947

Expiration Date

05/31/2002

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006