MILLIE M GROMOLL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025309

License Status

INACTIVE

Business

First Name

MILLIE M

Last Name

GROMOLL

Business Name

MILLIE M GROMOLL

Original Issue Date

07/07/1969

Expiration Date

05/01/1982

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005