LAURA M FULLERTON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000719

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

FULLERTON

Business Name

LAURA M FULLERTON

Original Issue Date

05/19/2020

Effective Date

05/19/2020

Expiration Date

08/31/2022

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

10/14/2022