MARY SUE GILLIOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041206963

License Status

INACTIVE

Business

First Name

MARY SUE

Last Name

GILLIOM

Business Name

MARY SUE GILLIOM

Original Issue Date

10/07/1981

Effective Date

10/07/1981

Expiration Date

05/31/1984

City

GOSHEN

State

Zip

46526

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006