JODY L GILLUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100485

License Status

NOT RENEWED

Business

First Name

JODY

Middle

Last Name

GILLUM

Business Name

JODY L GILLUM

Original Issue Date

09/29/2005

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

DIETERICH

State

Zip

62424

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/17/2009