BRETT ALLISON FULKS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019137

License Status

ACTIVE

Business

First Name

BRETT

Middle

ALLISON

Last Name

FULKS

Business Name

BRETT ALLISON FULKS

Original Issue Date

03/26/2019

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026