BRENDA KAY GILLIAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041160696

License Status

NOT RENEWED

Business

First Name

BRENDA KAY

Last Name

GILLIAM

Business Name

BRENDA KAY GILLIAM

Original Issue Date

05/06/1975

Effective Date

05/06/1975

City

FORT WAYNE

State

Zip

46815

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006