SUSAN GILLIAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115070

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

GILLIAM

Business Name

SUSAN GILLIAM

Original Issue Date

07/31/2012

Effective Date

12/18/2012

Expiration Date

01/31/2015

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

03/09/2015