MARY ANN L MILLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174115

License Status

INACTIVE

Business

First Name

MARY ANN L

Last Name

MILLER

Business Name

MARY ANN L MILLER

Original Issue Date

05/09/1977

Effective Date

05/12/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2018