MARY NIKKI NEMIE G GILLIAM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008827

License Status

NOT RENEWED

Business

First Name

MARY NIKKI

Middle

NEMIE G

Last Name

GILLIAM

Business Name

MARY NIKKI NEMIE G GILLIAM

Original Issue Date

12/27/2011

Effective Date

10/30/2017

Expiration Date

10/31/2019

City

SCHERERVILLE

State

Zip

46375

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2020