SUSAN MARIE MILLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136625

License Status

INACTIVE

Business

First Name

SUSAN MARIE

Last Name

MILLER

Business Name

SUSAN MARIE MILLER

Original Issue Date

08/31/1970

Effective Date

03/18/2010

Expiration Date

05/31/2012

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/08/2012