MARY BETH MILLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041166872

License Status

NOT RENEWED

Business

First Name

MARY BETH

Last Name

MILLER

Business Name

MARY BETH MILLER

Original Issue Date

05/11/1976

Effective Date

06/02/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016