SAM DAVID MILLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306470

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006