HENRIETTA P MIRACLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041164843

License Status

NOT RENEWED

Business

First Name

HENRIETTA P

Last Name

MIRACLE

Business Name

HENRIETTA P MIRACLE

Original Issue Date

10/24/1975

Effective Date

05/13/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016