VICKIE M FONDREN MILLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073716

License Status

NOT RENEWED

Business

First Name

VICKIE

Middle

Last Name

FONDREN MILLER

Business Name

VICKIE M FONDREN MILLER

Original Issue Date

06/09/1993

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005