PHILLIP D MILLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080256

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

MILLER

Business Name

PHILLIP D MILLER

Original Issue Date

11/25/1996

Effective Date

01/07/2009

Expiration Date

01/31/2011

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/10/2011