KELLY L MILLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041247658

License Status

NOT RENEWED

Business

First Name

KELLY L

Last Name

MILLER

Business Name

KELLY L MILLER

Original Issue Date

05/27/1988

Effective Date

08/18/2011

Expiration Date

05/31/2012

City

FORT WAYNE

State

Zip

46805

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012