MARY SUE GILLIOM - Registered Nurse License in Indiana | # 041206963

MARY SUE GILLIOM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041206963

License Status

INACTIVE

Business

N

First Name

MARY SUE

Last Name

GILLIOM

Business Name

MARY SUE GILLIOM

Original Issue Date

10/07/1981

Effective Date

10/07/1981

Expiration Date

05/31/1984

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006