MARY MARIE GILLIAM - Nursing Home Administrator License in Illinois | # 045003390

MARY MARIE GILLIAM

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003390

License Status

EXPIRED

Business

N

First Name

MARY

Middle

MARIE

Last Name

GILLIAM

Business Name

MARY MARIE GILLIAM

Original Issue Date

01/30/2009

Effective Date

01/30/2009

Expiration Date

01/30/2010

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018