License holder summary

Fatha Moganam Gilliss is a Nursing - Intravenous Certification licensed to practice in Colorado. The address on file for Fatha Moganam Gilliss is 1396 E Columbine Dr, Castle Rock, CO, 80104-0104. This licensed professional license is not current. The license was granted 05/20/1983 and expired on 10/16/2007.

Colorado

Division of Professions and Occupations

Fatha Moganam Gilliss
Nursing - Intravenous Certification
License number
2782215
Date granted
05/20/1983
Date expires
10/16/2007
Class
Nursing - Intravenous Certification
Status
Expired
Address
1396 E Columbine Dr, Castle Rock, CO, 80104-0104
coloradolicensing.org
ID 27589340
LAST UPDATED 2024-02-27 08:59:42 UTC

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