SAMANTHA ROBETTE GILLIAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111699

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ROBETTE

Last Name

GILLIAM

Business Name

SAMANTHA ROBETTE GILLIAM

Original Issue Date

11/16/2010

Effective Date

01/23/2017

Expiration Date

01/31/2019

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

03/28/2019