MARY E FULLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021513

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

FULLER

Business Name

MARY E FULLER

Original Issue Date

06/25/2020

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

03/02/2026