BRODA L MILLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089365

License Status

ACTIVE

Business

First Name

BRODA

Middle

Last Name

MILLER

Business Name

BRODA L MILLER

Original Issue Date

12/16/2003

Effective Date

02/27/2025

Expiration Date

01/31/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/27/2025

Case Number

2016010676

Action

Suspension

Discipline Start Date

02/17/2017

Discipline End Date

03/02/2017

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 03/06/2017.