IVA R MILLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048624

License Status

INACTIVE

Business

First Name

IVA

Middle

Last Name

MILLER

Business Name

IVA R MILLER

Original Issue Date

01/07/1980

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/10/2008