KIMOTHY A FULK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000434

License Status

ACTIVE

Business

First Name

KIMOTHY A

Last Name

FULK

Business Name

KIMOTHY A FULK

Original Issue Date

12/27/2019

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

03/02/2026