ETTA GILLIAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028735

License Status

NOT RENEWED

Business

First Name

ETTA

Last Name

GILLIAM

Business Name

ETTA GILLIAM

Original Issue Date

06/29/1971

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005