MATTHEW GENE PULLEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

GENE

Last Name

PULLEY

Business Name

MATTHEW GENE PULLEY

Original Issue Date

06/21/2018

Effective Date

06/21/2018

Expiration Date

09/30/2020

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021