MARTA FORREST MILLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039847

License Status

NOT RENEWED

Business

First Name

MARTA FORREST

Last Name

MILLER

Business Name

MARTA FORREST MILLER

Original Issue Date

08/09/1976

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005