FAYETTA M MILLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020301

License Status

NOT RENEWED

Business

First Name

FAYETTA M

Last Name

MILLER

Business Name

FAYETTA M MILLER

Original Issue Date

06/28/1967

Expiration Date

01/31/1999

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

05/27/2005