KATHLEEN MARIE FULLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005382

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

FULLER

Business Name

KATHLEEN MARIE FULLER

Original Issue Date

12/01/2004

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021