MICHELLE R FULLER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012872

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

FULLER

Business Name

MICHELLE R FULLER

Original Issue Date

06/10/2015

Effective Date

06/16/2022

Expiration Date

05/31/2024

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/16/2022