GREGORY L ILLUM - Registered Nurse License in Illinois | # 041126781

GREGORY L ILLUM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041126781

License Status

NOT RENEWED

Business

N

First Name

GREGORY L

Last Name

ILLUM

Business Name

GREGORY L ILLUM

Original Issue Date

08/23/1968

Effective Date

08/23/1968

State

IL

Ever Disciplined

Y

LastModifiedDate

09/27/2006