TIMOTHY RUSSELL GILLEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041354255

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

RUSSELL

Last Name

GILLEN

Business Name

TIMOTHY RUSSELL GILLEN

Original Issue Date

08/01/2006

Effective Date

08/01/2006

Expiration Date

05/31/2008

City

WHEATON

State

Zip

60187

County

WASHINGTON

Ever Disciplined

LastModifiedDate

07/11/2008