SAM DAVID MILLER - Registered Nurse License in Illinois | # 041306470

SAM DAVID MILLER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306470

License Status

NOT RENEWED

Business

N

First Name

SAM

Middle

DAVID

Last Name

MILLER

Business Name

SAM DAVID MILLER

Original Issue Date

10/09/1997

Effective Date

10/09/1997

Expiration Date

05/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006