GREGORY L ILLUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041126781

License Status

NOT RENEWED

Business

First Name

GREGORY L

Last Name

ILLUM

Business Name

GREGORY L ILLUM

Original Issue Date

08/23/1968

Effective Date

08/23/1968

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006