LAURA M FULLERTON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

INOPERATIVE

Business

First Name

LAURA

Middle

Last Name

FULLERTON

Business Name

LAURA M FULLERTON

Original Issue Date

08/01/2001

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

ELMWOOD

State

Zip

61529

County

KNOX

Ever Disciplined

LastModifiedDate

03/08/2020