MARK D MILLER JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086073

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

MILLER JR

Business Name

MARK D MILLER JR

Original Issue Date

04/12/2001

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/17/2009