LAURA M FULLERTON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001938

License Status

INACTIVE

Business

First Name

LAURA

Middle

Last Name

FULLERTON

Business Name

LAURA M FULLERTON

Original Issue Date

06/28/2001

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2020