MARY MARIE GILLIAM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010498

License Status

NOT RENEWED

Business

First Name

MARY

Middle

MARIE

Last Name

GILLIAM

Business Name

MARY MARIE GILLIAM

Original Issue Date

08/05/2009

Effective Date

11/25/2021

Expiration Date

11/30/2023

City

LUCAS

State

Zip

75002

County

TEXAS

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

04/16/2024