CAROLYN M MILLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084846

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

MILLER

Business Name

CAROLYN M MILLER

Original Issue Date

04/21/2000

Effective Date

01/22/2015

Expiration Date

01/31/2017

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/27/2017

Case Number

2003001630

Action

Probation

Discipline Start Date

03/11/2004

Discipline End Date

11/01/2006

Discipline Reason

Verbally and physically abusive to a resident at the nursing home where she was employed.