KIMOTHY A FULK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005713

License Status

INACTIVE

Business

First Name

KIMOTHY A

Last Name

FULK

Business Name

KIMOTHY A FULK

Original Issue Date

09/15/2005

Effective Date

04/26/2018

Expiration Date

09/30/2020

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

04/26/2018