HEATHER NICOLE FULHORST Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

ACTIVE

Business

First Name

HEATHER

Middle

NICOLE

Last Name

FULHORST

Business Name

HEATHER NICOLE FULHORST

Original Issue Date

08/30/2019

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026