LISA M MILES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087148

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MILES

Business Name

LISA M MILES

Original Issue Date

02/21/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005