ROBERTA MILLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036592

License Status

INACTIVE

Business

First Name

ROBERTA

Last Name

MILLER

Business Name

ROBERTA MILLER

Original Issue Date

01/30/1975

Effective Date

12/08/2004

Expiration Date

01/31/2005

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

10/15/2005