MARY MARIE GILLIAM Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003390

License Status

EXPIRED

Business

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

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018