KELLY MICHELLE MIRANDA

Business Entity
NOT RENEWED

Registered Nurse

LICENSED PRACTICAL NURSE

043065645

NOT RENEWED

N

KELLY

MICHELLE

MIRANDA

KELLY MICHELLE MIRANDA

01/20/1988

01/14/2019

01/31/2021

CARLYLE

IL

62231

CLINTON

Y

03/11/2021

2010007428

Probation w/o Monitoring

11/26/2012

license restored to two year non-reporting probation effective upon payment of fees and filing of forms.