THEOLA R GILLIAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041280999

License Status

INACTIVE

Business

First Name

THEOLA R

Last Name

GILLIAM

Business Name

THEOLA R GILLIAM

Original Issue Date

05/09/1994

Effective Date

05/09/1994

Expiration Date

05/31/2006

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006