GILLIAN R WITHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158136

License Status

INACTIVE

Business

First Name

GILLIAN R

Last Name

WITHAM

Business Name

GILLIAN R WITHAM

Original Issue Date

12/06/1974

Effective Date

12/06/1974

Expiration Date

05/31/1986

City

BOWLING GREEN

State

Zip

43402

County

OHIO

Ever Disciplined

LastModifiedDate

09/27/2006