KELLI M FULLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003174

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

FULLER

Business Name

KELLI M FULLER

Original Issue Date

07/18/2001

Effective Date

07/18/2001

Expiration Date

05/31/2004

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

06/09/2008